MARY AGNES BIGELOW DO Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009829

License Status

INACTIVE

Business

First Name

MARY

Middle

AGNES

Last Name

BIGELOW

Suffix

Business Name

MARY AGNES BIGELOW DO

Original Issue Date

03/23/2006

Effective Date

01/19/2012

Expiration Date

03/31/2014

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

01/09/2014