DAVID G SACKS Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935416

License Status

CANCELLED

Business

First Name

DAVID G

Last Name

SACKS

Business Name

DAVID G SACKS

Original Issue Date

06/16/2009

Effective Date

06/16/2009

Expiration Date

03/31/2010

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010