DAVID BRADFORD HARTIG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927611

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

BRADFORD

Last Name

HARTIG

Suffix

Business Name

DAVID BRADFORD HARTIG OD

Original Issue Date

11/20/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/11/2005