MAX ROSE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008642

License Status

NOT RENEWED

Business

First Name

MAX

Last Name

ROSE

Suffix

Business Name

MAX ROSE OD

Original Issue Date

04/12/1994

Expiration Date

03/31/1996

City

NORRIDGE

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005