MARK A YATES Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****82

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

YATES

Business Name

MARK A YATES

Original Issue Date

01/10/1997

Effective Date

01/25/2010

Expiration Date

03/31/2012

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012