MICHAEL G BALGEMANN OD - Optometrist License in Illinois | # 047928365

MICHAEL G BALGEMANN OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928365

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

01/17/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005