MICHELLE ANN GARDNER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****12

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

ANN

Last Name

GARDNER

Suffix

Business Name

MICHELLE ANN GARDNER OD

Original Issue Date

03/25/1999

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

FRANKFORT

State

Zip

60423

County

WILL

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006