GARY L CAMPBELL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****63

License Status

NOT RENEWED

Business

First Name

GARY

Middle

Last Name

CAMPBELL

Suffix

Business Name

GARY L CAMPBELL OD

Original Issue Date

04/07/1997

Effective Date

03/10/2010

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60623

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012