MICHELE O ALBANESE Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935303

License Status

CANCELLED

Business

First Name

MICHELE

Middle

Last Name

ALBANESE

Business Name

MICHELE O ALBANESE

Original Issue Date

04/28/2009

Effective Date

04/28/2009

Expiration Date

03/31/2010

City

ROCKFORD

State

Zip

61112

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010