RALPH J GEBERT OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931123

License Status

CANCELLED

Business

First Name

RALPH

Middle

Last Name

GEBERT

Suffix

Business Name

RALPH J GEBERT OD

Original Issue Date

04/21/2005

Effective Date

03/25/2008

Expiration Date

03/31/2010

City

SOUTH CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010