BRADLEY J CLODFELTER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047107766

License Status

NOT RENEWED

Business

First Name

BRADLEY

Middle

Last Name

CLODFELTER

Suffix

Business Name

BRADLEY J CLODFELTER OD

Original Issue Date

04/02/1986

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008