DAVID M BJORK OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009618

License Status

INACTIVE

Business

First Name

DAVID

Middle

Last Name

BJORK

Suffix

Business Name

DAVID M BJORK OD

Original Issue Date

03/26/2004

Effective Date

03/26/2004

Expiration Date

03/31/2006

City

KENOSHA

State

Zip

53144

Ever Disciplined

LastModifiedDate

01/18/2006