CHARLES BAILEY GOODMAN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047206847

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

BAILEY

Last Name

GOODMAN

Business Name

CHARLES BAILEY GOODMAN

Original Issue Date

03/19/1986

Expiration Date

03/31/1988

City

BURBANK

State

Zip

60459

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005