GREGORY D ACTIPES OD - Optometrist License in Illinois | # 34*****40

GREGORY D ACTIPES OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****40

License Status

NOT RENEWED

Business

N

First Name

GREGORY

Middle

D

Last Name

ACTIPES

Suffix

OD

Business Name

GREGORY D ACTIPES OD

Original Issue Date

03/18/1998

Effective Date

04/19/2022

Expiration Date

03/31/2024

State

IL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

N

LastModifiedDate

02/05/2025