NATHAN B GOLDBERG Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047143748

License Status

NOT RENEWED

Business

First Name

NATHAN B

Last Name

GOLDBERG

Business Name

NATHAN B GOLDBERG

Original Issue Date

08/25/1993

Expiration Date

03/31/1996

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005