DUANE L FONTANA Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006617

License Status

NOT RENEWED

Business

First Name

DUANE L

Last Name

FONTANA

Business Name

DUANE L FONTANA

Original Issue Date

09/25/1974

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60635

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005