CHARLES W BAGSTAD JR Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047207510

License Status

NOT RENEWED

Business

First Name

CHARLES W

Last Name

BAGSTAD JR

Business Name

CHARLES W BAGSTAD JR

Original Issue Date

12/22/1981

Expiration Date

05/01/1982

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005