CRAIG C GOLDMAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****42

License Status

NOT RENEWED

Business

First Name

CRAIG

Middle

Last Name

GOLDMAN

Suffix

Business Name

CRAIG C GOLDMAN OD

Original Issue Date

12/19/2001

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60602

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006