SANDRA E GOLDBERG Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007261

License Status

NOT RENEWED

Business

First Name

SANDRA E

Last Name

GOLDBERG

Business Name

SANDRA E GOLDBERG

Original Issue Date

12/27/1979

Effective Date

03/16/2010

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

05/16/2012