GARY S CHAVIN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****70

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

03/10/2020

Expiration Date

05/31/2022

City

NORTHBROOK

State

Zip

60062

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022