RALPH J GEBERT 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

RALPH

Middle

Last Name

GEBERT

Suffix

Business Name

RALPH J GEBERT OD

Original Issue Date

09/11/1996

Effective Date

03/10/2020

Expiration Date

05/31/2022

City

BARRINGTON

State

Zip

60010

County

LAKE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022