BRUCE MICHAEL PORTNOY Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935140

License Status

CANCELLED

Business

First Name

BRUCE MICHAEL

Last Name

PORTNOY

Business Name

BRUCE MICHAEL PORTNOY

Original Issue Date

03/08/2009

Effective Date

03/08/2009

Expiration Date

03/31/2010

City

SOUTH BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

05/04/2010