DENNIS M GAETA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927253

License Status

NOT RENEWED

Business

First Name

DENNIS

Middle

Last Name

GAETA

Suffix

Business Name

DENNIS M GAETA OD

Original Issue Date

06/27/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/11/2005