LARRY G BROKERING OD - Optometrist License in Illinois | # 047006446

LARRY G BROKERING OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006446

License Status

NOT RENEWED

Business

N

First Name

LARRY

Middle

G

Last Name

BROKERING

Suffix

OD

Business Name

LARRY G BROKERING OD

Original Issue Date

05/28/1975

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005