LARRY G BROKERING OD - Optometrist License in Illinois | # 047926091

LARRY G BROKERING OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926091

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

01/14/1999

Effective Date

05/18/2000

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005