MARIAN L LONGO OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010466

License Status

INACTIVE

Business

First Name

MARIAN

Middle

Last Name

LONGO

Suffix

Business Name

MARIAN L LONGO OD

Original Issue Date

06/28/2011

Effective Date

02/03/2016

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

01/12/2018