RANDALL D BURGGRAF OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006713

License Status

NOT RENEWED

Business

First Name

RANDALL

Middle

Last Name

BURGGRAF

Suffix

Business Name

RANDALL D BURGGRAF OD

Original Issue Date

07/18/1975

Effective Date

02/25/2020

Expiration Date

05/31/2022

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

07/27/2022