ERNEST G HAVRILLA Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047105633

License Status

CANCELLED

Business

First Name

ERNEST G

Last Name

HAVRILLA

Business Name

ERNEST G HAVRILLA

Original Issue Date

11/17/1981

Expiration Date

03/31/1994

City

HICKORY HILLS

State

Zip

60457

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005