LYNN MARIE GASTON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929805

License Status

NOT RENEWED

Business

First Name

LYNN

Middle

MARIE

Last Name

GASTON

Suffix

Business Name

LYNN MARIE GASTON OD

Original Issue Date

10/27/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005