MARC D HERWITZ Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928469

License Status

NOT RENEWED

Business

First Name

MARC D

Last Name

HERWITZ

Business Name

MARC D HERWITZ

Original Issue Date

03/01/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

09/11/2005