DAVID BRADFORD HARTIG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927495

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

BRADFORD

Last Name

HARTIG

Suffix

Business Name

DAVID BRADFORD HARTIG OD

Original Issue Date

10/16/2000

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

09/11/2005