AMELITA J CREALESE Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047003719

License Status

CANCELLED

Business

First Name

AMELITA J

Last Name

CREALESE

Business Name

AMELITA J CREALESE

Original Issue Date

08/07/1984

Expiration Date

03/31/1986

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/01/2005