BRENT H GANDOLFI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929215

License Status

NOT RENEWED

Business

First Name

BRENT

Middle

Last Name

GANDOLFI

Suffix

Business Name

BRENT H GANDOLFI OD

Original Issue Date

01/09/2003

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

05/02/2008