MARK A PELLEGRINI Optometrist License verification

Business Entity

INOPERATIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928245

License Status

INOPERATIVE

Business

First Name

MARK A

Last Name

PELLEGRINI

Business Name

MARK A PELLEGRINI

Original Issue Date

10/29/2001

Effective Date

02/26/2004

Expiration Date

03/31/2006

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/01/2005