EUGENE P ERTMAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929644

License Status

NOT RENEWED

Business

First Name

EUGENE

Middle

Last Name

ERTMAN

Suffix

Business Name

EUGENE P ERTMAN OD

Original Issue Date

08/25/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005