DENNIS M GAETA OD - Optometrist License in Illinois | # 047929121

DENNIS M GAETA OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929121

License Status

NOT RENEWED

Business

N

First Name

DENNIS

Middle

M

Last Name

GAETA

Suffix

OD

Business Name

DENNIS M GAETA OD

Original Issue Date

10/28/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005