MANDEL M BERG - Optometrist License in Illinois | # 046005714

MANDEL M BERG

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046005714

License Status

INACTIVE

Business

N

First Name

MANDEL

Middle

M

Last Name

BERG

Business Name

MANDEL M BERG

Effective Date

03/16/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

Y

LastModifiedDate

01/18/2006

Case Number

1993003961

Action

Reprimand

Discipline Start Date

04/07/1994

Discipline Reason

Practiced without a valid ancillary license.