JEROME S BROTMAN Optometrist License verification

Business Entity

INOPERATIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047105818

License Status

INOPERATIVE

Business

First Name

JEROME S

Last Name

BROTMAN

Business Name

JEROME S BROTMAN

Original Issue Date

07/29/1975

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005