GARY D DISTIN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006527

License Status

NOT RENEWED

Business

First Name

GARY D

Last Name

DISTIN

Business Name

GARY D DISTIN

Original Issue Date

08/21/1973

Effective Date

03/26/2018

Expiration Date

09/30/2020

City

MONMOUTH

State

Zip

61462

County

WARREN

Ever Disciplined

LastModifiedDate

01/14/2021