MICHAEL G BALGEMANN OD - Optometrist License in Illinois | # 047926686

MICHAEL G BALGEMANN OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926686

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

G

Last Name

BALGEMANN

Suffix

OD

Business Name

MICHAEL G BALGEMANN OD

Original Issue Date

12/30/1999

Effective Date

05/19/2003

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005