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.