BRADLEY J CLODFELTER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007766

License Status

NOT RENEWED

Business

First Name

BRADLEY

Middle

Last Name

CLODFELTER

Suffix

Business Name

BRADLEY J CLODFELTER OD

Original Issue Date

03/19/1986

Expiration Date

03/31/1992

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005