JUSTIN R GORDON OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006849

License Status

CANCELLED

Business

First Name

JUSTIN

Middle

Last Name

GORDON

Suffix

Business Name

JUSTIN R GORDON OD

Original Issue Date

08/22/1994

Effective Date

06/12/1999

Expiration Date

03/31/1998

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005