THERESE MARIE PORRETTA - Optometrist License in Illinois | # 047928053

THERESE MARIE PORRETTA

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928053

License Status

NOT RENEWED

Business

N

First Name

THERESE

Middle

MARIE

Last Name

PORRETTA

Business Name

THERESE MARIE PORRETTA

Original Issue Date

08/15/2001

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005