ANTHONY V LOSURDO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****66

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

Last Name

LOSURDO

Suffix

Business Name

ANTHONY V LOSURDO OD

Original Issue Date

06/17/1996

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006