INNA GOLDBERG OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930092

License Status

CANCELLED

Business

First Name

INNA

Last Name

GOLDBERG

Suffix

Business Name

INNA GOLDBERG OD

Original Issue Date

04/09/2004

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

05/04/2010