MARK PAUL BENJAMIN Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007998

License Status

INACTIVE

Business

First Name

MARK PAUL

Last Name

BENJAMIN

Business Name

MARK PAUL BENJAMIN

Original Issue Date

04/03/1987

Effective Date

03/29/2002

Expiration Date

03/31/2002

City

MERRILLVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

09/11/2005