CHARLES EDWARD BRUCE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925840

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

EDWARD

Last Name

BRUCE

Suffix

Business Name

CHARLES EDWARD BRUCE OD

Original Issue Date

09/09/1998

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

09/11/2005