DONALD MAZZULLA OD - Optometrist License in Illinois | # 047057110

DONALD MAZZULLA OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047057110

License Status

NOT RENEWED

Business

N

First Name

DONALD

Last Name

MAZZULLA

Suffix

OD

Business Name

DONALD MAZZULLA OD

Original Issue Date

09/22/1994

Expiration Date

03/31/1996

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005