CHARLES EDWARD BEDFORD JR - Optometrist License in Illinois | # 047007080

CHARLES EDWARD BEDFORD JR

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007080

License Status

NOT RENEWED

Business

N

First Name

CHARLES EDWARD

Last Name

BEDFORD JR

Business Name

CHARLES EDWARD BEDFORD JR

Original Issue Date

01/04/1994

Effective Date

04/15/2002

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005