VITO A RACANELLI JR OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047106438

License Status

CANCELLED

Business

First Name

VITO

Middle

Last Name

RACANELLI

Suffix

JR OD

Business Name

VITO A RACANELLI JR OD

Original Issue Date

10/23/1980

Expiration Date

05/01/1982

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

09/01/2005