WAYNE S GRAY OD - Optometrist License in Illinois | # 047930171

WAYNE S GRAY OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930171

License Status

CANCELLED

Business

N

Title

OD

First Name

WAYNE

Middle

S

Last Name

GRAY

Business Name

WAYNE S GRAY OD

Original Issue Date

05/26/2004

Effective Date

03/14/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005