JULLIAN ISABELLA CERASUOLO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****59

License Status

NOT RENEWED

Business

Title

First Name

JULLIAN

Middle

ISABELLA

Last Name

CERASUOLO

Business Name

JULLIAN ISABELLA CERASUOLO OD

Original Issue Date

05/28/2019

Effective Date

05/28/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021