DONALD MAZZULLA OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047307110

License Status

CANCELLED

Business

First Name

DONALD

Last Name

MAZZULLA

Suffix

Business Name

DONALD MAZZULLA OD

Original Issue Date

03/09/1987

Expiration Date

03/31/1992

City

JOLIET

State

Zip

60436

County

WILL

Ever Disciplined

LastModifiedDate

09/01/2005