License holder summary

BRADLEY SCOTT BASHAM is a Optometrist - Optometrist licensed to practice in Michigan. The address on file for BRADLEY SCOTT BASHAM is Fort Wayne, IN 46815. This licensed professional license is not current. The license was granted 03/02/1995 and expired on 06/30/1996.

Michigan

Department of Licensing and Regulation

BRADLEY SCOTT BASHAM
Optometrist - Optometrist
License number
4901003743
Date granted
03/02/1995
Date expires
06/30/1996
Class
Optometrist - Optometrist
Status
Lapsed
Address
Fort Wayne, IN 46815
michiganlicensing.org
ID 25879434
LAST UPDATED 2024-02-15 09:10:18 UTC

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