GARY S CHAVIN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047106125

License Status

NOT RENEWED

Business

First Name

GARY

Middle

Last Name

CHAVIN

Suffix

Business Name

GARY S CHAVIN OD

Original Issue Date

07/02/1973

Effective Date

03/25/2004

Expiration Date

03/31/2006

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006