BRADLEY W ANDERSON Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006511

License Status

INACTIVE

Business

First Name

BRADLEY W

Last Name

ANDERSON

Business Name

BRADLEY W ANDERSON

Original Issue Date

08/21/1973

Effective Date

05/22/2004

Expiration Date

03/31/2004

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

09/11/2005