JOHN P GYSIN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929050

License Status

NOT RENEWED

Business

First Name

JOHN P

Last Name

GYSIN

Suffix

Business Name

JOHN P GYSIN OD

Original Issue Date

10/18/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/11/2005