GARY THOMAS COBURN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006609

License Status

NOT RENEWED

Business

First Name

GARY THOMAS

Last Name

COBURN

Business Name

GARY THOMAS COBURN

Original Issue Date

08/14/1974

Expiration Date

01/01/1997

City

MERRILLVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

08/31/2005