KRISTEN NICOLE CLARK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010447

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

NICOLE

Last Name

CLARK

Suffix

Business Name

KRISTEN NICOLE CLARK OD

Original Issue Date

06/28/2011

Effective Date

03/10/2014

Expiration Date

03/31/2016

City

HENDERSON

State

Zip

89052

Ever Disciplined

LastModifiedDate

05/20/2016