BRUCE MICHAEL PORTNOY - Optometrist License in Illinois | # 047006563

BRUCE MICHAEL PORTNOY

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006563

License Status

NOT RENEWED

Business

N

First Name

BRUCE MICHAEL

Last Name

PORTNOY

Business Name

BRUCE MICHAEL PORTNOY

Original Issue Date

01/02/1974

Expiration Date

03/31/1990

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005