EUGENE BERKOVICH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928903

License Status

NOT RENEWED

Business

Title

First Name

EUGENE

Last Name

BERKOVICH

Business Name

EUGENE BERKOVICH OD

Original Issue Date

08/19/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

NORRIDGE

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005