GREGORY ROBERT PEREZ OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****63

License Status

NOT RENEWED

Business

Title

First Name

GREGORY

Middle

ROBERT

Last Name

PEREZ

Business Name

GREGORY ROBERT PEREZ OD

Original Issue Date

08/15/2013

Effective Date

01/28/2014

Expiration Date

03/31/2016

City

COUNTRY CLUB HILLS

State

Zip

60478

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016