ERIK R BJORK OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932376

License Status

CANCELLED

Business

First Name

ERIK

Middle

Last Name

BJORK

Suffix

Business Name

ERIK R BJORK OD

Original Issue Date

06/19/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/04/2010