EUGENE P ERTMAN OD - Optometrist License in Illinois | # 047929644

EUGENE P ERTMAN OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929644

License Status

NOT RENEWED

Business

N

First Name

EUGENE

Middle

P

Last Name

ERTMAN

Suffix

OD

Business Name

EUGENE P ERTMAN OD

Original Issue Date

08/25/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005