MARK A EBBEN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007089

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

EBBEN

Business Name

MARK A EBBEN

Original Issue Date

07/27/1978

Expiration Date

05/01/1982

City

LITTLE CHUTE

State

Zip

54140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

08/31/2005