MARIAN L LONGO OD - Optometrist License in Illinois | # 046010466

MARIAN L LONGO OD

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010466

License Status

INACTIVE

Business

N

First Name

MARIAN

Middle

L

Last Name

LONGO

Suffix

OD

Business Name

MARIAN L LONGO OD

Original Issue Date

06/28/2011

Effective Date

02/03/2016

Expiration Date

03/31/2018

State

IL

Ever Disciplined

N

LastModifiedDate

01/12/2018