ANTHONY ALPHONSE SERPICO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926145

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

ALPHONSE

Last Name

SERPICO

Suffix

Business Name

ANTHONY ALPHONSE SERPICO OD

Original Issue Date

03/11/1999

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

09/11/2005