MARK LESLIE TAPPAN Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007596

License Status

INACTIVE

Business

First Name

MARK LESLIE

Last Name

TAPPAN

Business Name

MARK LESLIE TAPPAN

Original Issue Date

08/03/1982

Expiration Date

03/31/1986

City

CORPUS CHRISTI

State

Zip

78411

Ever Disciplined

LastModifiedDate

08/31/2005