JOHN P GYSIN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929506

License Status

NOT RENEWED

Business

First Name

JOHN P

Last Name

GYSIN

Suffix

Business Name

JOHN P GYSIN OD

Original Issue Date

06/23/2003

Effective Date

04/02/2004

Expiration Date

03/31/2006

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/11/2006