WAYNE S GRAY OD - Optometrist License in Illinois | # 047006433

WAYNE S GRAY OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006433

License Status

CANCELLED

Business

N

Title

OD

First Name

WAYNE

Middle

S

Last Name

GRAY

Business Name

WAYNE S GRAY OD

Original Issue Date

10/25/1974

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005