TINA MARIE BRANDONISIO OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008944

License Status

INACTIVE

Business

First Name

TINA

Middle

MARIE

Last Name

BRANDONISIO

Suffix

Business Name

TINA MARIE BRANDONISIO OD

Original Issue Date

10/09/1996

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

01/05/2010