LAURA A GIANCOLA Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047201075

License Status

CANCELLED

Business

First Name

LAURA A

Last Name

GIANCOLA

Business Name

LAURA A GIANCOLA

Original Issue Date

01/11/1991

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010