JEROME S BROTMAN Optometrist License verification

Business Entity

INOPERATIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047205818

License Status

INOPERATIVE

Business

First Name

JEROME S

Last Name

BROTMAN

Business Name

JEROME S BROTMAN

Original Issue Date

04/19/1976

Expiration Date

01/01/1997

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005