GARY D DISTIN Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006527

License Status

CANCELLED

Business

First Name

GARY D

Last Name

DISTIN

Business Name

GARY D DISTIN

Original Issue Date

11/18/1987

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

ALEDO

State

Zip

61231

County

MERCER

Ever Disciplined

LastModifiedDate

05/04/2010