DENNIS M GAETA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929121

License Status

NOT RENEWED

Business

First Name

DENNIS

Middle

Last Name

GAETA

Suffix

Business Name

DENNIS M GAETA OD

Original Issue Date

10/28/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005