THEODORE E BOGART OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007165

License Status

INACTIVE

Business

First Name

THEODORE

Middle

Last Name

BOGART

Suffix

Business Name

THEODORE E BOGART OD

Original Issue Date

08/06/1979

Effective Date

05/21/2020

Expiration Date

05/31/2022

City

BLACK DIAMOND

State

Zip

98010

County

WASHINGTON STATE

Ever Disciplined

LastModifiedDate

03/22/2022