BRENT H GANDOLFI OD - Optometrist License in Illinois | # 047407799

BRENT H GANDOLFI OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047407799

License Status

NOT RENEWED

Business

N

First Name

BRENT

Middle

H

Last Name

GANDOLFI

Suffix

OD

Business Name

BRENT H GANDOLFI OD

Original Issue Date

01/02/1987

Expiration Date

03/31/1990

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005