DUANE L FONTANA Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047206617

License Status

CANCELLED

Business

First Name

DUANE L

Last Name

FONTANA

Business Name

DUANE L FONTANA

Original Issue Date

10/24/1986

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010