KEVIN EDWARD GAJDA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****55

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

EDWARD

Last Name

GAJDA

Suffix

Business Name

KEVIN EDWARD GAJDA OD

Original Issue Date

10/06/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005