BRUCE MICHAEL PORTNOY Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006563

License Status

INACTIVE

Business

First Name

BRUCE MICHAEL

Last Name

PORTNOY

Business Name

BRUCE MICHAEL PORTNOY

Original Issue Date

08/21/1973

Effective Date

03/02/2012

Expiration Date

03/31/2014

City

INDIAN CREEK

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

01/09/2014