ALPHONSE J SERPICO Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****98

License Status

NOT RENEWED

Business

First Name

ALPHONSE J

Last Name

SERPICO

Business Name

ALPHONSE J SERPICO

Original Issue Date

04/19/2002

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/02/2008