JACK G GUENTHER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****39

License Status

NOT RENEWED

Business

First Name

JACK

Middle

Last Name

GUENTHER

Suffix

Business Name

JACK G GUENTHER OD

Original Issue Date

03/18/1998

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

NORTH RIVERSIDE

State

Zip

60546

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006