RANDALL D BURGGRAF OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****34

License Status

NOT RENEWED

Business

First Name

RANDALL

Middle

Last Name

BURGGRAF

Suffix

Business Name

RANDALL D BURGGRAF OD

Original Issue Date

03/26/2015

Effective Date

02/25/2020

Expiration Date

05/31/2022

City

GENEVA

State

Zip

60134

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022