License holder summary

Clark, Jason Miller is a Optometrist licensed to practice in Missouri. The address on file for Clark, Jason Miller is 1115-804 Kennesaw Ridge , Columbia 65202. This licensed professional license is current. The license was granted 06/27/2012 and expired on 10/31/2014.

Missouri

Division of Professional Registration

Clark, Jason Miller
Optometrist
License number
2012021505  
Date granted
06/27/2012
Date expires
10/31/2014
Class
Optometrist
Status
Clear
Address
1115-804 Kennesaw Ridge 
licensingmissouri.org
ID 1186999
LAST UPDATED 2024-04-28 05:06:49 UTC

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