BARRY P SIEGEL OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047106370

License Status

CANCELLED

Business

First Name

BARRY P

Last Name

SIEGEL OD

Business Name

BARRY P SIEGEL OD

Original Issue Date

04/24/1973

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60636

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005