SAMUEL ROSENBERG Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047004761

License Status

NOT RENEWED

Business

First Name

SAMUEL

Last Name

ROSENBERG

Business Name

SAMUEL ROSENBERG

Original Issue Date

11/28/1972

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60636

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005