ROMAN BORIS GERBER Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****00

License Status

NOT RENEWED

Business

First Name

ROMAN

Middle

BORIS

Last Name

GERBER

Business Name

ROMAN BORIS GERBER

Original Issue Date

06/28/2011

Effective Date

03/13/2014

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016