TINA MARIE BRANDONISIO OD - Optometrist License in Illinois | # 047928172

TINA MARIE BRANDONISIO OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928172

License Status

NOT RENEWED

Business

N

First Name

TINA

Middle

MARIE

Last Name

BRANDONISIO

Suffix

OD

Business Name

TINA MARIE BRANDONISIO OD

Original Issue Date

09/21/2001

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005