CARLA ANN URSETTA OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934759

License Status

CANCELLED

Business

Title

First Name

CARLA

Middle

ANN

Last Name

URSETTA

Business Name

CARLA ANN URSETTA OD

Original Issue Date

10/19/2008

Effective Date

10/19/2008

Expiration Date

03/31/2010

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010