MARK JAMES ABRAHAM OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009729

License Status

NOT RENEWED

Business

First Name

MARK

Middle

JAMES

Last Name

ABRAHAM

Suffix

Business Name

MARK JAMES ABRAHAM OD

Original Issue Date

11/17/2004

Effective Date

11/17/2004

Expiration Date

03/31/2006

City

DEARBORN

State

Zip

48124

County

MICHIGAN

Ever Disciplined

LastModifiedDate

05/11/2006