EUGENE P ERTMAN OD - Optometrist License in Illinois | # 047935007

EUGENE P ERTMAN OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935007

License Status

CANCELLED

Business

N

First Name

EUGENE

Middle

P

Last Name

ERTMAN

Suffix

OD

Business Name

EUGENE P ERTMAN OD

Original Issue Date

01/14/2009

Effective Date

01/14/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010