DAVID M GOODMAN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047203126

License Status

NOT RENEWED

Business

First Name

DAVID M

Last Name

GOODMAN

Business Name

DAVID M GOODMAN

Original Issue Date

05/11/1987

Expiration Date

03/31/1990

City

NORRIDGE

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005