LYNN MARIE GASTON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****48

License Status

NOT RENEWED

Business

First Name

LYNN

Middle

MARIE

Last Name

GASTON

Suffix

Business Name

LYNN MARIE GASTON OD

Original Issue Date

01/28/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006