MITCHELL R PETIT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008617

License Status

NOT RENEWED

Business

First Name

MITCHELL R

Last Name

PETIT

Suffix

Business Name

MITCHELL R PETIT OD

Original Issue Date

11/17/1994

Expiration Date

03/31/1996

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005