DAVID J TABAK Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007705

License Status

NOT RENEWED

Business

First Name

DAVID J

Last Name

TABAK

Business Name

DAVID J TABAK

Original Issue Date

06/16/1987

Expiration Date

03/31/1990

City

NILES

State

Zip

60648

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/01/2005