LARA GUTIERREZ OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929388

License Status

CANCELLED

Business

First Name

LARA

Last Name

GUTIERREZ

Suffix

Business Name

LARA GUTIERREZ OD

Original Issue Date

03/26/2003

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010