GARY L PORTER OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928040

License Status

CANCELLED

Business

First Name

GARY

Middle

Last Name

PORTER

Suffix

Business Name

GARY L PORTER OD

Original Issue Date

08/01/2001

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010