REGINO JOHN FLORA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930653

License Status

NOT RENEWED

Business

Title

First Name

REGINO

Middle

JOHN

Last Name

FLORA

Business Name

REGINO JOHN FLORA OD

Original Issue Date

10/05/2004

Effective Date

10/05/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60609

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006