MICHELLE L SANTUCCI OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934423

License Status

CANCELLED

Business

Title

First Name

MICHELLE

Middle

Last Name

SANTUCCI

Business Name

MICHELLE L SANTUCCI OD

Original Issue Date

07/22/2008

Effective Date

07/22/2008

Expiration Date

03/31/2010

City

SHOREWOOD

State

Zip

60431

County

WILL

Ever Disciplined

LastModifiedDate

05/04/2010