INNA GOLDBERG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930091

License Status

NOT RENEWED

Business

First Name

INNA

Last Name

GOLDBERG

Suffix

Business Name

INNA GOLDBERG OD

Original Issue Date

04/09/2004

Effective Date

04/09/2004

Expiration Date

03/31/2006

City

RIVER GROVE

State

Zip

60171

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006