HARRIS G PITASCH Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047205727

License Status

CANCELLED

Business

First Name

HARRIS G

Last Name

PITASCH

Business Name

HARRIS G PITASCH

Original Issue Date

10/17/1972

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005