MICHAEL P BERT OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008894

License Status

INACTIVE

Business

First Name

MICHAEL P

Last Name

BERT

Suffix

Business Name

MICHAEL P BERT OD

Original Issue Date

06/12/1996

Effective Date

03/31/2022

Expiration Date

03/31/2024

City

WINCHESTER

State

Zip

22602

Ever Disciplined

LastModifiedDate

03/28/2024