MICHAEL BRANDON FISHER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932371

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

BRANDON

Last Name

FISHER

Suffix

Business Name

MICHAEL BRANDON FISHER OD

Original Issue Date

06/19/2006

Effective Date

06/19/2006

Expiration Date

03/31/2008

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/02/2008