BRENT H GANDOLFI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047307799

License Status

NOT RENEWED

Business

First Name

BRENT

Middle

Last Name

GANDOLFI

Suffix

Business Name

BRENT H GANDOLFI OD

Original Issue Date

01/10/1987

Expiration Date

03/31/1988

City

COUNTRYSIDE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005