GARY TY HUBER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****03

License Status

NOT RENEWED

Business

First Name

GARY

Middle

Last Name

HUBER

Suffix

Business Name

GARY TY HUBER OD

Original Issue Date

07/12/2004

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/02/2008