MICHAEL P DECARLO OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008262

License Status

INACTIVE

Business

First Name

MICHAEL

Middle

Last Name

DECARLO

Suffix

Business Name

MICHAEL P DECARLO OD

Original Issue Date

03/24/1990

Expiration Date

03/31/1998

City

LONG BEACH

State

Zip

90803

Ever Disciplined

LastModifiedDate

08/31/2005

Case Number

1996011891

Action

Fine

Discipline Start Date

05/14/1998

Discipline Reason

Failing to submit sufficient proof of required continuing education hours during a Department audit.