REGINO JOHN FLORA OD - Optometrist License in Illinois | # 047930653

REGINO JOHN FLORA OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930653

License Status

NOT RENEWED

Business

N

Title

OD

First Name

REGINO

Middle

JOHN

Last Name

FLORA

Business Name

REGINO JOHN FLORA OD

Original Issue Date

10/05/2004

Effective Date

10/05/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006