GARY L PORTER OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047406639

License Status

CANCELLED

Business

First Name

GARY

Middle

Last Name

PORTER

Suffix

Business Name

GARY L PORTER OD

Original Issue Date

01/30/1988

Expiration Date

03/31/1990

City

ALSIP

State

Zip

60482

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005