WAYNE T BENSMAN Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047105623

License Status

CANCELLED

Business

First Name

WAYNE T

Last Name

BENSMAN

Business Name

WAYNE T BENSMAN

Original Issue Date

05/25/1973

Expiration Date

01/01/1997

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005