JASON HOWARD GREENBERG OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935106

License Status

CANCELLED

Business

Title

First Name

JASON

Middle

HOWARD

Last Name

GREENBERG

Business Name

JASON HOWARD GREENBERG OD

Original Issue Date

02/25/2009

Effective Date

02/25/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010