RANDALL D BURGGRAF OD - Optometrist License in Illinois | # 046006713

RANDALL D BURGGRAF OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006713

License Status

NOT RENEWED

Business

N

First Name

RANDALL

Middle

D

Last Name

BURGGRAF

Suffix

OD

Business Name

RANDALL D BURGGRAF OD

Original Issue Date

07/18/1975

Effective Date

02/25/2020

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022