PETER A RUSSO OD - Optometrist License in Illinois | # 047008021

PETER A RUSSO OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008021

License Status

NOT RENEWED

Business

N

First Name

PETER

Middle

A

Last Name

RUSSO

Suffix

OD

Business Name

PETER A RUSSO OD

Original Issue Date

08/24/1988

Effective Date

05/18/2000

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005