DONALD W ROSSI OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934629

License Status

CANCELLED

Business

First Name

DONALD

Middle

Last Name

ROSSI

Suffix

Business Name

DONALD W ROSSI OD

Original Issue Date

09/10/2008

Effective Date

09/10/2008

Expiration Date

03/31/2010

City

PEORIA

State

Zip

61613

County

PEORIA

Ever Disciplined

LastModifiedDate

05/04/2010