DUANE L FONTANA - Optometrist License in Illinois | # 047006617

DUANE L FONTANA

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006617

License Status

NOT RENEWED

Business

N

First Name

DUANE L

Last Name

FONTANA

Business Name

DUANE L FONTANA

Original Issue Date

09/25/1974

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005