MAX ROSE OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930078

License Status

CANCELLED

Business

First Name

MAX

Last Name

ROSE

Suffix

Business Name

MAX ROSE OD

Original Issue Date

04/07/2004

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

NORTH RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010