ANTONIA MOURELATOS OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933615

License Status

CANCELLED

Business

First Name

ANTONIA

Last Name

MOURELATOS

Suffix

Business Name

ANTONIA MOURELATOS OD

Original Issue Date

12/05/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010