DEBRA M DEAGOSTINI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008523

License Status

NOT RENEWED

Business

First Name

DEBRA M

Last Name

DEAGOSTINI

Suffix

Business Name

DEBRA M DEAGOSTINI OD

Original Issue Date

10/27/1992

Expiration Date

03/31/1994

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

09/01/2005