MICHAEL WILLIAM MENCONI - Optometrist License in Illinois | # 047935650

MICHAEL WILLIAM MENCONI

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935650

License Status

CANCELLED

Business

N

First Name

MICHAEL

Middle

WILLIAM

Last Name

MENCONI

Business Name

MICHAEL WILLIAM MENCONI

Original Issue Date

08/31/2009

Effective Date

08/31/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010