MICHAEL J TRAD OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931260

License Status

CANCELLED

Business

First Name

MICHAEL

Middle

Last Name

TRAD

Suffix

Business Name

MICHAEL J TRAD OD

Original Issue Date

07/07/2005

Effective Date

07/07/2005

Expiration Date

03/31/2006

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/01/2005