HERBERT SOLOMON Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****02

License Status

CANCELLED

Business

First Name

HERBERT

Last Name

SOLOMON

Business Name

HERBERT SOLOMON

Original Issue Date

09/06/1996

Effective Date

08/24/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60659

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006