ERNEST G HAVRILLA Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047005633

License Status

NOT RENEWED

Business

First Name

ERNEST G

Last Name

HAVRILLA

Business Name

ERNEST G HAVRILLA

Original Issue Date

07/11/1978

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

DARIEN

State

Zip

60559

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005