JOHN P GYSIN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930715

License Status

CANCELLED

Business

First Name

JOHN P

Last Name

GYSIN

Suffix

Business Name

JOHN P GYSIN OD

Original Issue Date

11/09/2004

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/04/2010