DENNIS M GAETA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****99

License Status

NOT RENEWED

Business

First Name

DENNIS

Middle

Last Name

GAETA

Suffix

Business Name

DENNIS M GAETA OD

Original Issue Date

05/16/1996

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

JOLIET

State

Zip

60435

County

WILL

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006