GARY T KOTELES OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047407329

License Status

CANCELLED

Business

First Name

GARY

Middle

Last Name

KOTELES

Suffix

Business Name

GARY T KOTELES OD

Original Issue Date

03/19/1986

Expiration Date

03/31/1988

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/01/2005