WAYNE S GRAY OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047106433

License Status

CANCELLED

Business

Title

First Name

WAYNE

Middle

Last Name

GRAY

Business Name

WAYNE S GRAY OD

Original Issue Date

11/03/1977

Expiration Date

05/01/1982

City

PALOS HILLS

State

Zip

60465

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005