MARK A PELLEGRINI Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930044

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

PELLEGRINI

Business Name

MARK A PELLEGRINI

Original Issue Date

03/18/2004

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/02/2008