PHILLIP L KAUFMAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006741

License Status

NOT RENEWED

Business

First Name

PHILLIP

Middle

Last Name

KAUFMAN

Suffix

Business Name

PHILLIP L KAUFMAN OD

Original Issue Date

09/17/1976

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005