PETER J GADDIS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****91

License Status

NOT RENEWED

Business

First Name

PETER J

Last Name

GADDIS

Suffix

Business Name

PETER J GADDIS OD

Original Issue Date

08/26/1996

Expiration Date

03/31/1998

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005