JASON HOWARD GREENBERG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928826

License Status

NOT RENEWED

Business

Title

First Name

JASON

Middle

HOWARD

Last Name

GREENBERG

Business Name

JASON HOWARD GREENBERG OD

Original Issue Date

08/01/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

09/11/2005