RALPH J GEBERT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930099

License Status

NOT RENEWED

Business

First Name

RALPH

Middle

Last Name

GEBERT

Suffix

Business Name

RALPH J GEBERT OD

Original Issue Date

04/22/2004

Effective Date

04/22/2004

Expiration Date

03/31/2006

City

AMBOY

State

Zip

61310

County

LEE

Ever Disciplined

LastModifiedDate

05/11/2006