AUSTIN THOMAS GREGORY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****62

License Status

NOT RENEWED

Business

Title

First Name

AUSTIN

Middle

THOMAS

Last Name

GREGORY

Business Name

AUSTIN THOMAS GREGORY OD

Original Issue Date

04/12/2016

Effective Date

03/14/2018

Expiration Date

09/30/2020

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021