BRUCE MICHAEL PORTNOY - Optometrist License in Illinois | # 047206563

BRUCE MICHAEL PORTNOY

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047206563

License Status

CANCELLED

Business

N

First Name

BRUCE MICHAEL

Last Name

PORTNOY

Business Name

BRUCE MICHAEL PORTNOY

Original Issue Date

06/25/1974

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005