GREGORY D ACTIPES OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925748

License Status

CANCELLED

Business

First Name

GREGORY

Middle

Last Name

ACTIPES

Suffix

Business Name

GREGORY D ACTIPES OD

Original Issue Date

07/16/1998

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010