MATTHEW W PARRILLI Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****00

License Status

NOT RENEWED

Business

First Name

MATTHEW W

Last Name

PARRILLI

Business Name

MATTHEW W PARRILLI

Original Issue Date

09/19/1996

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

LOCKPORT

State

Zip

60441

County

WILL

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005