ANTONIA MOURELATOS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928958

License Status

NOT RENEWED

Business

First Name

ANTONIA

Last Name

MOURELATOS

Suffix

Business Name

ANTONIA MOURELATOS OD

Original Issue Date

09/04/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/11/2005