LARRY G BROKERING OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006446

License Status

NOT RENEWED

Business

First Name

LARRY

Middle

Last Name

BROKERING

Suffix

Business Name

LARRY G BROKERING OD

Original Issue Date

07/26/1972

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/04/2010