GARY B WHITE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****42

License Status

NOT RENEWED

Business

First Name

GARY B

Last Name

WHITE

Business Name

GARY B WHITE

Original Issue Date

03/09/2006

Effective Date

03/05/2018

Expiration Date

09/30/2020

City

STREATOR

State

Zip

61364

County

LA SALLE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021