EILEEN N GABLE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****11

License Status

NOT RENEWED

Business

First Name

EILEEN

Middle

Last Name

GABLE

Suffix

Business Name

EILEEN N GABLE OD

Original Issue Date

04/23/1997

Effective Date

03/03/2010

Expiration Date

03/31/2012

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012