BARRY P SIEGEL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047056370

License Status

NOT RENEWED

Business

First Name

BARRY P

Last Name

SIEGEL OD

Business Name

BARRY P SIEGEL OD

Original Issue Date

07/24/1996

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005