LARS A GENTRY OD - Optometrist License in Illinois | # 047926762

LARS A GENTRY OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926762

License Status

CANCELLED

Business

N

First Name

LARS

Middle

A

Last Name

GENTRY

Suffix

OD

Business Name

LARS A GENTRY OD

Original Issue Date

02/07/2000

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010