MICHAEL ANGELO BERTUCCI OD - Optometrist License in Illinois | # 047935547

MICHAEL ANGELO BERTUCCI OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935547

License Status

CANCELLED

Business

N

First Name

MICHAEL

Middle

ANGELO

Last Name

BERTUCCI

Suffix

OD

Business Name

MICHAEL ANGELO BERTUCCI OD

Original Issue Date

07/29/2009

Effective Date

07/29/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010