BRADLEY J JORGENSEN - Optometrist License in Wisconsin | # 046007771

BRADLEY J JORGENSEN

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007771

License Status

INACTIVE

Business

N

First Name

BRADLEY J

Last Name

JORGENSEN

Business Name

BRADLEY J JORGENSEN

Original Issue Date

08/20/1984

Expiration Date

03/31/1988

State

WI

Ever Disciplined

N

LastModifiedDate

08/31/2005