GRANT WILLIAM GOBLE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****43

License Status

NOT RENEWED

Business

First Name

GRANT

Middle

WILLIAM

Last Name

GOBLE

Suffix

Business Name

GRANT WILLIAM GOBLE OD

Original Issue Date

07/09/2012

Effective Date

03/07/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60607

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021