WAYNE S GRAY OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935420

License Status

CANCELLED

Business

Title

First Name

WAYNE

Middle

Last Name

GRAY

Business Name

WAYNE S GRAY OD

Original Issue Date

06/18/2009

Effective Date

06/18/2009

Expiration Date

03/31/2010

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010