RALPH J GEBERT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932033

License Status

NOT RENEWED

Business

First Name

RALPH

Middle

Last Name

GEBERT

Suffix

Business Name

RALPH J GEBERT OD

Original Issue Date

04/18/2006

Effective Date

04/18/2006

Expiration Date

03/31/2008

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/02/2008