DONALD MAZZULLA OD - Optometrist License in Illinois | # 047307110

DONALD MAZZULLA OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047307110

License Status

CANCELLED

Business

N

First Name

DONALD

Last Name

MAZZULLA

Suffix

OD

Business Name

DONALD MAZZULLA OD

Original Issue Date

03/09/1987

Expiration Date

03/31/1992

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005