LUCILLE H BRONGERSMA Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007867

License Status

INACTIVE

Business

First Name

LUCILLE H

Last Name

BRONGERSMA

Business Name

LUCILLE H BRONGERSMA

Original Issue Date

10/07/1985

Expiration Date

03/31/1988

City

MEADOW VISTA

State

Zip

95722

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

08/31/2005