GARY L PORTER OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047206639

License Status

CANCELLED

Business

First Name

GARY

Middle

Last Name

PORTER

Suffix

Business Name

GARY L PORTER OD

Original Issue Date

07/02/1987

Expiration Date

03/31/1992

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005