ERIK R BJORK OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933886

License Status

CANCELLED

Business

First Name

ERIK

Middle

Last Name

BJORK

Suffix

Business Name

ERIK R BJORK OD

Original Issue Date

03/20/2008

Effective Date

03/20/2008

Expiration Date

03/31/2010

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

05/04/2010