PETER A RUSSO OD - Optometrist License in Illinois | # 047927791

PETER A RUSSO OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927791

License Status

NOT RENEWED

Business

N

First Name

PETER

Middle

A

Last Name

RUSSO

Suffix

OD

Business Name

PETER A RUSSO OD

Original Issue Date

03/21/2001

Effective Date

01/18/2006

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008