LISA MARIE BINGHAM OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010402

License Status

INACTIVE

Business

First Name

LISA

Middle

MARIE

Last Name

BINGHAM

Suffix

Business Name

LISA MARIE BINGHAM OD

Original Issue Date

07/19/2010

Effective Date

07/19/2010

Expiration Date

03/31/2012

City

ROCHESTER

State

Zip

55901

County

MINNESOTA

Ever Disciplined

LastModifiedDate

01/12/2012