BRUCE E FOGEL Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006663

License Status

NOT RENEWED

Business

First Name

BRUCE E

Last Name

FOGEL

Business Name

BRUCE E FOGEL

Original Issue Date

05/28/1975

Expiration Date

01/01/1997

City

NILES

State

Zip

60648

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005