DONALD W ROSSI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****86

License Status

NOT RENEWED

Business

First Name

DONALD

Middle

Last Name

ROSSI

Suffix

Business Name

DONALD W ROSSI OD

Original Issue Date

03/22/1996

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010