CHAD ANTHONY HARTMAN Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934978

License Status

CANCELLED

Business

First Name

CHAD

Middle

ANTHONY

Last Name

HARTMAN

Business Name

CHAD ANTHONY HARTMAN

Original Issue Date

01/02/2009

Effective Date

01/02/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010