MICHAEL P BERT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008894

License Status

NOT RENEWED

Business

First Name

MICHAEL P

Last Name

BERT

Suffix

Business Name

MICHAEL P BERT OD

Original Issue Date

09/23/1996

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005