BRET ALAN AMMERAAL OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009025

License Status

INACTIVE

Business

First Name

BRET

Middle

ALAN

Last Name

AMMERAAL

Suffix

Business Name

BRET ALAN AMMERAAL OD

Original Issue Date

09/15/1997

Effective Date

02/26/2002

Expiration Date

03/31/2002

City

MADISON

State

Zip

53704

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/11/2005