ANTONIA MOURELATOS OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930283

License Status

CANCELLED

Business

First Name

ANTONIA

Last Name

MOURELATOS

Suffix

Business Name

ANTONIA MOURELATOS OD

Original Issue Date

06/08/2004

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

HUNTLEY

State

Zip

60142

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/04/2010