WAYNE S GRAY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925638

License Status

NOT RENEWED

Business

Title

First Name

WAYNE

Middle

Last Name

GRAY

Business Name

WAYNE S GRAY OD

Original Issue Date

05/14/1998

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005