GREGORY D ACTIPES OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008414

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

Last Name

ACTIPES

Suffix

Business Name

GREGORY D ACTIPES OD

Original Issue Date

09/28/1994

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

CICERO

State

Zip

60804

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005