TINA MARIE BRANDONISIO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925345

License Status

NOT RENEWED

Business

First Name

TINA

Middle

MARIE

Last Name

BRANDONISIO

Suffix

Business Name

TINA MARIE BRANDONISIO OD

Original Issue Date

05/21/1997

Effective Date

06/12/1999

Expiration Date

03/31/1998

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005