PETER A RUSSO OD - Optometrist License in Illinois | # 047931009

PETER A RUSSO OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931009

License Status

CANCELLED

Business

N

First Name

PETER

Middle

A

Last Name

RUSSO

Suffix

OD

Business Name

PETER A RUSSO OD

Original Issue Date

03/10/2005

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010