STEVEN M GUSTAFSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047028416

License Status

NOT RENEWED

Business

First Name

STEVEN M

Last Name

GUSTAFSON

Suffix

Business Name

STEVEN M GUSTAFSON OD

Original Issue Date

04/14/1994

Expiration Date

03/31/1996

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005