BRADLEY W ANDERSON Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006511

License Status

NOT RENEWED

Business

First Name

BRADLEY W

Last Name

ANDERSON

Business Name

BRADLEY W ANDERSON

Original Issue Date

11/13/1986

Expiration Date

03/31/1996

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005