SIDNEY L BURG OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047003587

License Status

CANCELLED

Business

First Name

SIDNEY L

Last Name

BURG

Suffix

Business Name

SIDNEY L BURG OD

Original Issue Date

05/12/1986

Expiration Date

03/31/1988

City

BELLEVILLE

State

Zip

62223

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/01/2005