CHARLES W BAGSTAD JR Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007510

License Status

NOT RENEWED

Business

First Name

CHARLES W

Last Name

BAGSTAD JR

Business Name

CHARLES W BAGSTAD JR

Original Issue Date

10/16/1981

Expiration Date

03/31/1984

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

08/31/2005