ELLEN L CLARKSON OD

Business Entity
NOT RENEWED

Optometrist

LICENSED OPTOMETRIST

046008109

NOT RENEWED

N

ELLEN L

CLARKSON

OD

ELLEN L CLARKSON OD

04/19/1988

03/31/1998

COLUMBUS

OH

43221

OHIO

Y

08/31/2005

1996011322

Fine

06/18/1998

Failing to provide sufficient proof of required continuing education hours during a Department audit.