PETER A RUSSO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008021

License Status

NOT RENEWED

Business

First Name

PETER

Middle

Last Name

RUSSO

Suffix

Business Name

PETER A RUSSO OD

Original Issue Date

08/24/1988

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/11/2005