SOL TANNEBAUM Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927181

License Status

NOT RENEWED

Business

First Name

SOL

Last Name

TANNEBAUM

Business Name

SOL TANNEBAUM

Original Issue Date

05/31/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005