MICHELLE L SANTUCCI OD - Optometrist License in Illinois | # 047935036

MICHELLE L SANTUCCI OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935036

License Status

CANCELLED

Business

N

Title

OD

First Name

MICHELLE

Middle

L

Last Name

SANTUCCI

Business Name

MICHELLE L SANTUCCI OD

Original Issue Date

01/25/2009

Effective Date

01/25/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010