JASPER J GULOTTA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007183

License Status

NOT RENEWED

Business

First Name

JASPER

Middle

Last Name

GULOTTA

Suffix

Business Name

JASPER J GULOTTA OD

Original Issue Date

04/08/1980

Expiration Date

05/01/1982

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005