EUGENE BERKOVICH OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934999

License Status

CANCELLED

Business

Title

First Name

EUGENE

Last Name

BERKOVICH

Business Name

EUGENE BERKOVICH OD

Original Issue Date

01/13/2009

Effective Date

01/13/2009

Expiration Date

03/31/2010

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

05/04/2010