HAROLD I TANENBAUM - Optometrist License in Illinois | # 047005016

HAROLD I TANENBAUM

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047005016

License Status

CANCELLED

Business

N

First Name

HAROLD I

Last Name

TANENBAUM

Business Name

HAROLD I TANENBAUM

Original Issue Date

07/29/1975

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005