GINA MARIE PIPER OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931140

License Status

CANCELLED

Business

First Name

GINA

Middle

MARIE

Last Name

PIPER

Suffix

Business Name

GINA MARIE PIPER OD

Original Issue Date

04/26/2005

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010