BRENT H GANDOLFI OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****01

License Status

ACTIVE

Business

First Name

BRENT

Middle

Last Name

GANDOLFI

Suffix

Business Name

BRENT H GANDOLFI OD

Original Issue Date

07/01/2004

Effective Date

03/01/2024

Expiration Date

03/31/2026

City

GURNEE

State

Zip

60031

County

LAKE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/08/2026