LEO EDWARD GUERTIN III OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009051

License Status

INACTIVE

Business

First Name

LEO

Middle

EDWARD

Last Name

GUERTIN

Suffix

III OD

Business Name

LEO EDWARD GUERTIN III OD

Original Issue Date

11/18/1997

Effective Date

04/06/2000

Expiration Date

03/31/2000

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

09/11/2005