SANDRA E GOLDBERG Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****30

License Status

NOT RENEWED

Business

First Name

SANDRA E

Last Name

GOLDBERG

Business Name

SANDRA E GOLDBERG

Original Issue Date

05/15/1997

Effective Date

03/16/2010

Expiration Date

03/31/2012

City

GLENVIEW

State

Zip

60025

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012