ERIK R BJORK OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935601

License Status

CANCELLED

Business

First Name

ERIK

Middle

Last Name

BJORK

Suffix

Business Name

ERIK R BJORK OD

Original Issue Date

08/14/2009

Effective Date

08/14/2009

Expiration Date

03/31/2010

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/04/2010