STEVEN M GUSTAFSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008416

License Status

NOT RENEWED

Business

First Name

STEVEN M

Last Name

GUSTAFSON

Suffix

Business Name

STEVEN M GUSTAFSON OD

Original Issue Date

11/05/1991

Expiration Date

03/31/1996

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/01/2005