NATHAN B GOLDBERG Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047203748

License Status

CANCELLED

Business

First Name

NATHAN B

Last Name

GOLDBERG

Business Name

NATHAN B GOLDBERG

Original Issue Date

05/28/1975

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005