HAROLD I TANENBAUM Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047105016

License Status

CANCELLED

Business

First Name

HAROLD I

Last Name

TANENBAUM

Business Name

HAROLD I TANENBAUM

Original Issue Date

07/29/1975

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005