JACK H BRUECKNER Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006124

License Status

NOT RENEWED

Business

First Name

JACK H

Last Name

BRUECKNER

Business Name

JACK H BRUECKNER

Expiration Date

01/01/1997

City

WAUPACA

State

Zip

54981

County

WISCONSIN

Ever Disciplined

LastModifiedDate

08/31/2005