GARY TY HUBER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930772

License Status

NOT RENEWED

Business

First Name

GARY

Middle

Last Name

HUBER

Suffix

Business Name

GARY TY HUBER OD

Original Issue Date

12/09/2004

Effective Date

12/09/2004

Expiration Date

03/31/2006

City

HODGKINS

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006