JASON HOWARD GREENBERG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****61

License Status

NOT RENEWED

Business

Title

First Name

JASON

Middle

HOWARD

Last Name

GREENBERG

Business Name

JASON HOWARD GREENBERG OD

Original Issue Date

08/27/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

GURNEE

State

Zip

60031

County

LAKE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006