VINCENT R FACCHIANO Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007568

License Status

CANCELLED

Business

First Name

VINCENT R

Last Name

FACCHIANO

Business Name

VINCENT R FACCHIANO

Original Issue Date

08/07/1984

Expiration Date

03/31/1992

City

ROCKFORD

State

Zip

61112

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/01/2005