SOL TANNEBAUM Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927182

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

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

09/11/2005