MICHAEL JOHN BRUCE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927293

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

JOHN

Last Name

BRUCE

Suffix

Business Name

MICHAEL JOHN BRUCE OD

Original Issue Date

07/21/2000

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/11/2005