Optometrist
LICENSED OPTOMETRIST ANCILLARY OFFICE
047006681
CANCELLED
N
GEORGE R
ROSENTHAL
GEORGE R ROSENTHAL
04/17/1987
03/31/1990
HIGHLAND
IL
62245
MADISON
Y
09/01/2005
2003005264
Suspension
03/10/2005
Failed to file and/or pay Illinois income taxes.