JOHN P GYSIN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930811

License Status

NOT RENEWED

Business

First Name

JOHN P

Last Name

GYSIN

Suffix

Business Name

JOHN P GYSIN OD

Original Issue Date

12/22/2004

Effective Date

12/22/2004

Expiration Date

03/31/2006

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

05/11/2006