BRUCE MICHAEL PORTNOY - Optometrist License in Illinois | # 047932070

BRUCE MICHAEL PORTNOY

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932070

License Status

NOT RENEWED

Business

N

First Name

BRUCE MICHAEL

Last Name

PORTNOY

Business Name

BRUCE MICHAEL PORTNOY

Original Issue Date

04/19/2006

Effective Date

04/19/2006

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008