MICHELLE L SANTUCCI OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935036

License Status

CANCELLED

Business

Title

First Name

MICHELLE

Middle

Last Name

SANTUCCI

Business Name

MICHELLE L SANTUCCI OD

Original Issue Date

01/25/2009

Effective Date

01/25/2009

Expiration Date

03/31/2010

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010