VITO A RACANELLI JR OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****53

License Status

NOT RENEWED

Business

First Name

VITO

Middle

Last Name

RACANELLI

Suffix

JR OD

Business Name

VITO A RACANELLI JR OD

Original Issue Date

06/06/1997

Effective Date

04/07/2020

Expiration Date

05/31/2022

City

MCHENRY

State

Zip

60050

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022