PETER A RUSSO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927791

License Status

NOT RENEWED

Business

First Name

PETER

Middle

Last Name

RUSSO

Suffix

Business Name

PETER A RUSSO OD

Original Issue Date

03/21/2001

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

HICKORY HILLS

State

Zip

60457

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008