GARY G GUNDERSON Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****16

License Status

NOT RENEWED

Business

First Name

GARY G

Last Name

GUNDERSON

Business Name

GARY G GUNDERSON

Original Issue Date

04/29/1997

Effective Date

03/11/2016

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018