Jack Mallen
ExpiredIllinois license 047004199
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 047004199
- Status
- Expired (Not Renewed)
- First issued
- September 29, 1978
- Expired
- January 1, 1997
- License holder
- Jack Mallen
- Entity type
- Individual
Classifications
- Licensed Optometrist Ancillary Office (Optometry) Vision & Hearing
Other Illinois licenses under this name
-
IL
ExpiredFairview Heights, ILExpired Mar 31, 1986
Contact
Fairview Heights, IL 62208
Saint Clair County