EDMUND L BORMAN Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046004788

License Status

INACTIVE

Business

First Name

EDMUND L

Last Name

BORMAN

Business Name

EDMUND L BORMAN

Expiration Date

03/31/1998

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

08/31/2005