NATHAN B GOLDBERG Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047503748

License Status

NOT RENEWED

Business

First Name

NATHAN B

Last Name

GOLDBERG

Business Name

NATHAN B GOLDBERG

Original Issue Date

07/11/1978

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005