DANIELE PATRIZIO SALTARELLI OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****25

License Status

INACTIVE

Business

First Name

DANIELE

Middle

PATRIZIO

Last Name

SALTARELLI

Suffix

Business Name

DANIELE PATRIZIO SALTARELLI OD

Original Issue Date

11/13/2001

Effective Date

04/03/2002

Expiration Date

03/31/2002

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005