LAWRENCE GOLDBERG Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046004821

License Status

INACTIVE

Business

First Name

LAWRENCE

Last Name

GOLDBERG

Business Name

LAWRENCE GOLDBERG

Effective Date

04/12/2000

Expiration Date

03/31/2000

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005