JASPER J GULOTTA OD Optometrist License verification

Business Entity

INOPERATIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****73

License Status

INOPERATIVE

Business

First Name

JASPER

Middle

Last Name

GULOTTA

Suffix

Business Name

JASPER J GULOTTA OD

Original Issue Date

08/20/1996

Effective Date

01/09/2024

Expiration Date

03/31/2026

City

LANSING

State

Zip

60438

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/08/2026