COLVERT ROMULO GONZALES OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****38

License Status

NOT RENEWED

Business

First Name

COLVERT

Middle

ROMULO

Last Name

GONZALES

Suffix

Business Name

COLVERT ROMULO GONZALES OD

Original Issue Date

07/03/2012

Effective Date

07/03/2012

Expiration Date

03/31/2014

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014