JOSEPH M REPA Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047204621

License Status

NOT RENEWED

Business

First Name

JOSEPH M

Last Name

REPA

Business Name

JOSEPH M REPA

Original Issue Date

05/17/1974

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005