GARY T KOTELES OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932921

License Status

CANCELLED

Business

First Name

GARY

Middle

Last Name

KOTELES

Suffix

Business Name

GARY T KOTELES OD

Original Issue Date

03/21/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010