ROSANNE MEZZANO Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****06

License Status

NOT RENEWED

Business

First Name

ROSANNE

Last Name

MEZZANO

Business Name

ROSANNE MEZZANO

Original Issue Date

02/05/1997

Effective Date

01/22/2014

Expiration Date

03/31/2016

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016