Optometrist
LICENSED OPTOMETRIST
046005682
NOT RENEWED
N
IRWIN A
DENEMARK
IRWIN A DENEMARK
06/19/1953
03/22/2004
03/31/2006
CHICAGO
IL
60638
COOK
Y
05/11/2006
1997050772
Fine
11/06/1997
Practicing at a location for which he did not have an ancillary license.