INNA GOLDBERG OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047038704

License Status

CANCELLED

Business

First Name

INNA

Last Name

GOLDBERG

Suffix

Business Name

INNA GOLDBERG OD

Original Issue Date

08/06/1996

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

01/10/2008