EUGENE P ERTMAN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933823

License Status

CANCELLED

Business

First Name

EUGENE

Middle

Last Name

ERTMAN

Suffix

Business Name

EUGENE P ERTMAN OD

Original Issue Date

03/05/2008

Effective Date

03/05/2008

Expiration Date

03/31/2010

City

CRESTWOOD

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010