LEXI A DERRY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010474

License Status

NOT RENEWED

Business

First Name

LEXI

Middle

Last Name

DERRY

Suffix

Business Name

LEXI A DERRY OD

Original Issue Date

06/28/2011

Effective Date

03/14/2016

Expiration Date

03/31/2018

City

FAIRBURY

State

Zip

61739

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018