BARRY A DAHLGREN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006613

License Status

NOT RENEWED

Business

First Name

BARRY A

Last Name

DAHLGREN

Business Name

BARRY A DAHLGREN

Original Issue Date

08/14/1974

Expiration Date

01/01/1997

City

WEST ALLIS

State

Zip

53214

County

WISCONSIN

Ever Disciplined

LastModifiedDate

08/31/2005