JASON HOWARD GREENBERG OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934506

License Status

CANCELLED

Business

Title

First Name

JASON

Middle

HOWARD

Last Name

GREENBERG

Business Name

JASON HOWARD GREENBERG OD

Original Issue Date

08/07/2008

Effective Date

08/07/2008

Expiration Date

03/31/2010

City

CHICAGO RIDGE

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010