MICHAEL G BALGEMANN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934040

License Status

CANCELLED

Business

First Name

MICHAEL

Middle

Last Name

BALGEMANN

Suffix

Business Name

MICHAEL G BALGEMANN OD

Original Issue Date

03/31/2008

Effective Date

03/31/2008

Expiration Date

03/31/2010

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

05/04/2010