JOHN P GYSIN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931093

License Status

NOT RENEWED

Business

First Name

JOHN P

Last Name

GYSIN

Suffix

Business Name

JOHN P GYSIN OD

Original Issue Date

04/19/2005

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/02/2008