GARY J BURKHARDT Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007800

License Status

INACTIVE

Business

First Name

GARY J

Last Name

BURKHARDT

Business Name

GARY J BURKHARDT

Original Issue Date

01/30/1985

Expiration Date

03/31/1990

City

APPLETON

State

Zip

54915

County

WISCONSIN

Ever Disciplined

LastModifiedDate

08/31/2005