CHARLES EDWARD BEDFORD JR Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****51

License Status

NOT RENEWED

Business

First Name

CHARLES EDWARD

Last Name

BEDFORD JR

Business Name

CHARLES EDWARD BEDFORD JR

Original Issue Date

04/15/1996

Effective Date

03/08/2018

Expiration Date

09/30/2020

City

DECATUR

State

Zip

62521

County

MACON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021