ERNEST G HAVRILLA Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046005633

License Status

INACTIVE

Business

First Name

ERNEST G

Last Name

HAVRILLA

Business Name

ERNEST G HAVRILLA

Effective Date

03/25/2004

Expiration Date

03/31/2004

City

DARIEN

State

Zip

60561

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005