DAVID BRADFORD HARTIG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931742

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

BRADFORD

Last Name

HARTIG

Suffix

Business Name

DAVID BRADFORD HARTIG OD

Original Issue Date

02/24/2006

Effective Date

02/24/2006

Expiration Date

03/31/2008

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

05/02/2008