RANDALL D BURGGRAF OD - Optometrist License in Illinois | # 047932595

RANDALL D BURGGRAF OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932595

License Status

NOT RENEWED

Business

N

First Name

RANDALL

Middle

D

Last Name

BURGGRAF

Suffix

OD

Business Name

RANDALL D BURGGRAF OD

Original Issue Date

10/24/2006

Effective Date

10/24/2006

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008