DAVID BRADFORD HARTIG OD - Optometrist License in Illinois | # 047927495

DAVID BRADFORD HARTIG OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927495

License Status

NOT RENEWED

Business

N

First Name

DAVID

Middle

BRADFORD

Last Name

HARTIG

Suffix

OD

Business Name

DAVID BRADFORD HARTIG OD

Original Issue Date

10/16/2000

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005