ALLAN J BRUMMEL OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935772

License Status

CANCELLED

Business

First Name

ALLAN

Middle

Last Name

BRUMMEL

Suffix

Business Name

ALLAN J BRUMMEL OD

Original Issue Date

10/13/2009

Effective Date

10/13/2009

Expiration Date

03/31/2010

City

PITTSFIELD

State

Zip

62363

County

PIKE

Ever Disciplined

LastModifiedDate

05/04/2010