MARK EDWIN BERNTHAL - Optometrist License in Illinois | # 046007163

MARK EDWIN BERNTHAL

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007163

License Status

NOT RENEWED

Business

N

First Name

MARK EDWIN

Last Name

BERNTHAL

Business Name

MARK EDWIN BERNTHAL

Original Issue Date

08/06/1979

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

08/31/2005