NATHAN B GOLDBERG Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047103748

License Status

CANCELLED

Business

First Name

NATHAN B

Last Name

GOLDBERG

Business Name

NATHAN B GOLDBERG

Original Issue Date

01/02/1987

Expiration Date

03/31/1988

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005