LARRY G BROKERING OD - Optometrist License in Illinois | # 047926098

LARRY G BROKERING OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926098

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

01/15/1999

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005