JOHN F BUSH OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927613

License Status

CANCELLED

Business

First Name

JOHN F

Last Name

BUSH

Suffix

Business Name

JOHN F BUSH OD

Original Issue Date

11/20/2000

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

RED BUD

State

Zip

62278

County

RANDOLPH

Ever Disciplined

LastModifiedDate

10/06/2018