GARY T KOTELES OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007329

License Status

NOT RENEWED

Business

First Name

GARY

Middle

Last Name

KOTELES

Suffix

Business Name

GARY T KOTELES OD

Original Issue Date

10/15/1980

Expiration Date

05/01/1982

City

ROCKFORD

State

Zip

61112

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/01/2005