WAYNE S GRAY OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006433

License Status

CANCELLED

Business

Title

First Name

WAYNE

Middle

Last Name

GRAY

Business Name

WAYNE S GRAY OD

Original Issue Date

10/25/1974

Expiration Date

01/01/1997

City

LANSING

State

Zip

60438

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005