ANTHONY ALPHONSE SERPICO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****32

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

ALPHONSE

Last Name

SERPICO

Suffix

Business Name

ANTHONY ALPHONSE SERPICO OD

Original Issue Date

06/21/1999

Effective Date

03/19/2018

Expiration Date

09/30/2020

City

GURNEE

State

Zip

60031

County

LAKE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021