GARY J MASTERSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****84

License Status

NOT RENEWED

Business

First Name

GARY

Middle

Last Name

MASTERSON

Suffix

Business Name

GARY J MASTERSON OD

Original Issue Date

07/07/1998

Effective Date

03/22/2018

Expiration Date

09/30/2020

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021