THEODORE E BOGART OD - Optometrist License in Illinois | # 047925628

THEODORE E BOGART OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925628

License Status

NOT RENEWED

Business

N

First Name

THEODORE

Middle

E

Last Name

BOGART

Suffix

OD

Business Name

THEODORE E BOGART OD

Original Issue Date

05/13/1998

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005