Bradley S Basham
InactiveIllinois license 046008806
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 046008806
- Status
- Inactive
- First issued
- August 8, 1995
- Expired
- March 31, 1996
- License holder
- Bradley S Basham
- Entity type
- Individual
Classifications
- Licensed Optometrist (Optometry) Vision & Hearing
Contact
Fort Wayne, IN 46815
Indiana County