LISA MARIE VIVACQUA Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046011633

License Status

ACTIVE

Business

First Name

LISA

Middle

MARIE

Last Name

VIVACQUA

Business Name

LISA MARIE VIVACQUA

Original Issue Date

06/16/2022

Effective Date

03/01/2026

Expiration Date

03/31/2028

City

VERNON HILLS

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

03/01/2026