GREGORY D ACTIPES OD - Optometrist License in Illinois | # 047935118

GREGORY D ACTIPES OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935118

License Status

CANCELLED

Business

N

First Name

GREGORY

Middle

D

Last Name

ACTIPES

Suffix

OD

Business Name

GREGORY D ACTIPES OD

Original Issue Date

03/02/2009

Effective Date

03/02/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010