JOSEPH M REPA Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047104621

License Status

NOT RENEWED

Business

First Name

JOSEPH M

Last Name

REPA

Business Name

JOSEPH M REPA

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60650

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005