WAYNE S GRAY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931031

License Status

NOT RENEWED

Business

Title

First Name

WAYNE

Middle

Last Name

GRAY

Business Name

WAYNE S GRAY OD

Original Issue Date

03/14/2005

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

HOMEWOOD

State

Zip

60430

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008