MITCHELL N BURGESS Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046004301

License Status

INACTIVE

Business

First Name

MITCHELL N

Last Name

BURGESS

Business Name

MITCHELL N BURGESS

Expiration Date

03/31/1984

City

LONGMONT

State

Zip

80501

County

COLORADO

Ever Disciplined

LastModifiedDate

08/31/2005