MANDEL M BERG Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047205714

License Status

NOT RENEWED

Business

First Name

MANDEL

Middle

Last Name

BERG

Business Name

MANDEL M BERG

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005