BRUCE I GAYNES OD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067500

License Status

NOT RENEWED

Business

First Name

BRUCE

Middle

Last Name

GAYNES

Suffix

Business Name

BRUCE I GAYNES OD

Original Issue Date

06/17/1977

Effective Date

06/17/1977

Expiration Date

03/31/1997

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005