EILEEN N GABLE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****92

License Status

NOT RENEWED

Business

First Name

EILEEN

Middle

Last Name

GABLE

Suffix

Business Name

EILEEN N GABLE OD

Original Issue Date

12/15/2006

Effective Date

03/03/2010

Expiration Date

03/31/2012

City

HICKORY HILLS

State

Zip

60457

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012