DOUGLAS A AZZARO OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933278

License Status

CANCELLED

Business

First Name

DOUGLAS

Middle

Last Name

AZZARO

Suffix

Business Name

DOUGLAS A AZZARO OD

Original Issue Date

08/09/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010