EMILY A MANGIARACINA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046011277

License Status

NOT RENEWED

Business

Title

First Name

EMILY

Middle

Last Name

MANGIARACINA

Business Name

EMILY A MANGIARACINA OD

Original Issue Date

01/28/2019

Effective Date

01/28/2019

Expiration Date

09/30/2020

City

CROWN POINT

State

Zip

46307

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021