JENNIFER M GULA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****07

License Status

NOT RENEWED

Business

Title

First Name

JENNIFER

Middle

Last Name

GULA

Business Name

JENNIFER M GULA OD

Original Issue Date

08/11/2008

Effective Date

08/11/2008

Expiration Date

03/31/2010

City

LA GRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010