JOHN JOSEPH GARDNER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****20

License Status

NOT RENEWED

Business

Title

First Name

JOHN

Middle

JOSEPH

Last Name

GARDNER

Business Name

JOHN JOSEPH GARDNER OD

Original Issue Date

10/09/1996

Effective Date

03/31/2014

Expiration Date

03/31/2016

City

HOMER GLEN

State

Zip

60491

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/20/2016