MARK A MLSNA Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007791

License Status

INACTIVE

Business

First Name

MARK A

Last Name

MLSNA

Business Name

MARK A MLSNA

Original Issue Date

01/30/1985

Expiration Date

03/31/1994

City

BROOKFIELD

State

Zip

53005

County

WISCONSIN

Ever Disciplined

LastModifiedDate

08/31/2005