GARY L CAMPBELL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930119

License Status

NOT RENEWED

Business

First Name

GARY

Middle

Last Name

CAMPBELL

Suffix

Business Name

GARY L CAMPBELL OD

Original Issue Date

05/18/2004

Effective Date

05/18/2004

Expiration Date

03/31/2006

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2006