GARY TY HUBER OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930442

License Status

CANCELLED

Business

First Name

GARY

Middle

Last Name

HUBER

Suffix

Business Name

GARY TY HUBER OD

Original Issue Date

08/13/2004

Effective Date

08/23/2004

Expiration Date

03/31/2006

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005