RICHARD G BURSUA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****84

License Status

NOT RENEWED

Business

First Name

RICHARD G

Last Name

BURSUA

Suffix

Business Name

RICHARD G BURSUA OD

Original Issue Date

03/22/1996

Effective Date

02/20/2014

Expiration Date

03/31/2016

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016