RALPH J GEBERT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927040

License Status

NOT RENEWED

Business

First Name

RALPH

Middle

Last Name

GEBERT

Suffix

Business Name

RALPH J GEBERT OD

Original Issue Date

05/15/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/11/2005