D DAVID PESAVENTO Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****05

License Status

NOT RENEWED

Business

First Name

Middle

DAVID

Last Name

PESAVENTO

Business Name

D DAVID PESAVENTO

Original Issue Date

02/05/1997

Effective Date

01/16/2020

Expiration Date

05/31/2022

City

JOLIET

State

Zip

60431

County

WILL

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022