BRUCE MICHAEL PORTNOY Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006563

License Status

NOT RENEWED

Business

First Name

BRUCE MICHAEL

Last Name

PORTNOY

Business Name

BRUCE MICHAEL PORTNOY

Original Issue Date

01/02/1974

Expiration Date

03/31/1990

City

WHEELING

State

Zip

60090

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005