JOSEPH F GRASSO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****94

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

Last Name

GRASSO

Suffix

Business Name

JOSEPH F GRASSO OD

Original Issue Date

12/14/2000

Effective Date

02/10/2004

Expiration Date

03/31/2006

City

SPARTA

State

Zip

62286

County

RANDOLPH

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/11/2006