HARRIS G PITASCH Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047005727

License Status

CANCELLED

Business

First Name

HARRIS G

Last Name

PITASCH

Business Name

HARRIS G PITASCH

Original Issue Date

02/15/1972

Expiration Date

01/01/1997

City

CHICAGO

State

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005