DAVID G SACKS Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931175

License Status

NOT RENEWED

Business

First Name

DAVID G

Last Name

SACKS

Business Name

DAVID G SACKS

Original Issue Date

05/09/2005

Effective Date

05/09/2005

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006