GARY S CHAVIN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****69

License Status

NOT RENEWED

Business

First Name

GARY

Middle

Last Name

CHAVIN

Suffix

Business Name

GARY S CHAVIN OD

Original Issue Date

09/30/1996

Effective Date

03/25/2004

Expiration Date

03/31/2006

City

SYCAMORE

State

Zip

60178

County

DEKALB

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2006