BRUCE I GAYNES OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007656

License Status

NOT RENEWED

Business

First Name

BRUCE

Middle

Last Name

GAYNES

Suffix

Business Name

BRUCE I GAYNES OD

Original Issue Date

11/18/1988

Expiration Date

03/31/1990

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

09/01/2005