CHARLES BAILEY GOODMAN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006847

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

BAILEY

Last Name

GOODMAN

Business Name

CHARLES BAILEY GOODMAN

Original Issue Date

06/18/1979

Expiration Date

01/01/1997

City

EVERGREEN PARK

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005