CHARLES EDWARD BRUCE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****74

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

EDWARD

Last Name

BRUCE

Suffix

Business Name

CHARLES EDWARD BRUCE OD

Original Issue Date

06/12/1998

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/18/2006