NATHAN B GOLDBERG Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047003748

License Status

CANCELLED

Business

First Name

NATHAN B

Last Name

GOLDBERG

Business Name

NATHAN B GOLDBERG

Original Issue Date

05/10/1974

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005