COLVERT ROMULO GONZALES OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010575

License Status

NOT RENEWED

Business

First Name

COLVERT

Middle

ROMULO

Last Name

GONZALES

Suffix

Business Name

COLVERT ROMULO GONZALES OD

Original Issue Date

07/02/2012

Effective Date

07/02/2012

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014