GARY L PORTER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925968

License Status

NOT RENEWED

Business

First Name

GARY

Middle

Last Name

PORTER

Suffix

Business Name

GARY L PORTER OD

Original Issue Date

11/04/1998

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005