ANTHONY ALPHONSE SERPICO OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925914

License Status

CANCELLED

Business

First Name

ANTHONY

Middle

ALPHONSE

Last Name

SERPICO

Suffix

Business Name

ANTHONY ALPHONSE SERPICO OD

Original Issue Date

09/30/1998

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

05/04/2010