LYNN MARIE GASTON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****08

License Status

NOT RENEWED

Business

First Name

LYNN

Middle

MARIE

Last Name

GASTON

Suffix

Business Name

LYNN MARIE GASTON OD

Original Issue Date

07/06/2000

Effective Date

03/08/2004

Expiration Date

03/31/2006

City

CALUMET CITY

State

Zip

60409

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2006