CRAIG C GOLDMAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930763

License Status

NOT RENEWED

Business

First Name

CRAIG

Middle

Last Name

GOLDMAN

Suffix

Business Name

CRAIG C GOLDMAN OD

Original Issue Date

12/02/2004

Effective Date

12/02/2004

Expiration Date

03/31/2006

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/11/2006