BRENT H GANDOLFI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047707799

License Status

NOT RENEWED

Business

First Name

BRENT

Middle

Last Name

GANDOLFI

Suffix

Business Name

BRENT H GANDOLFI OD

Original Issue Date

04/19/1988

Expiration Date

03/31/1990

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005