KATHERINE HELEN HERTZBERG Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934194

License Status

CANCELLED

Business

First Name

KATHERINE

Middle

HELEN

Last Name

HERTZBERG

Business Name

KATHERINE HELEN HERTZBERG

Original Issue Date

05/09/2008

Effective Date

05/09/2008

Expiration Date

03/31/2010

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010