DOUGLAS A AZZARO OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931678

License Status

CANCELLED

Business

First Name

DOUGLAS

Middle

Last Name

AZZARO

Suffix

Business Name

DOUGLAS A AZZARO OD

Original Issue Date

02/09/2006

Effective Date

02/09/2006

Expiration Date

03/31/2008

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/09/2006