DONALD R GORDON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006403

License Status

NOT RENEWED

Business

First Name

DONALD R

Last Name

GORDON

Suffix

Business Name

DONALD R GORDON OD

Original Issue Date

11/15/1994

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

FARMER CITY

State

Zip

61842

County

DE WITT

Ever Disciplined

LastModifiedDate

09/11/2005