DAVID A GREENBERG Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****48

License Status

NOT RENEWED

Business

First Name

DAVID A

Last Name

GREENBERG

Business Name

DAVID A GREENBERG

Original Issue Date

04/14/1998

Effective Date

03/11/2014

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60641

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016