BRADLEY ELLIOTT BORELLO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010291

License Status

NOT RENEWED

Business

Title

First Name

BRADLEY

Middle

ELLIOTT

Last Name

BORELLO

Business Name

BRADLEY ELLIOTT BORELLO OD

Original Issue Date

07/21/2009

Effective Date

07/21/2009

Expiration Date

03/31/2010

City

BALLWIN

State

Zip

63011

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/04/2010