CHARLES EDWARD BEDFORD JR Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007080

License Status

NOT RENEWED

Business

First Name

CHARLES EDWARD

Last Name

BEDFORD JR

Business Name

CHARLES EDWARD BEDFORD JR

Original Issue Date

01/04/1994

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

LOVINGTON

State

Zip

61937

County

MOULTRIE

Ever Disciplined

LastModifiedDate

09/11/2005