Bradley J Jorgensen
InactiveIllinois license 046007771
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 046007771
- Status
- Inactive
- First issued
- August 20, 1984
- Expired
- March 31, 1988
- License holder
- Bradley J Jorgensen
- Entity type
- Individual
Classifications
- Licensed Optometrist (Optometry) Vision & Hearing
Contact
Appleton, WI 54914
Wisconsin County