DAVID M GOODMAN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047003126

License Status

NOT RENEWED

Business

First Name

DAVID M

Last Name

GOODMAN

Business Name

DAVID M GOODMAN

Original Issue Date

05/15/1987

Expiration Date

03/31/1992

City

NILES

State

Zip

60648

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005