INNA GOLDBERG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925464

License Status

NOT RENEWED

Business

First Name

INNA

Last Name

GOLDBERG

Suffix

Business Name

INNA GOLDBERG OD

Original Issue Date

10/07/1997

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005