ERIK D BURGWALD OD - Optometrist License in Illinois | # 047008644

ERIK D BURGWALD OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008644

License Status

NOT RENEWED

Business

N

First Name

ERIK D

Last Name

BURGWALD

Suffix

OD

Business Name

ERIK D BURGWALD OD

Original Issue Date

12/16/1994

Effective Date

04/15/2002

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005