TRACY ANN HEIDENREICH OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009024

License Status

INACTIVE

Business

First Name

TRACY

Middle

ANN

Last Name

HEIDENREICH

Suffix

Business Name

TRACY ANN HEIDENREICH OD

Original Issue Date

09/08/1997

Effective Date

04/10/2000

Expiration Date

03/31/2000

City

MADISON

State

Zip

53719

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/11/2005