DEREK BRYAN HENNIG OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046011094

License Status

ACTIVE

Business

Title

First Name

DEREK

Middle

BRYAN

Last Name

HENNIG

Business Name

DEREK BRYAN HENNIG OD

Original Issue Date

05/25/2017

Effective Date

03/05/2026

Expiration Date

03/31/2028

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

03/05/2026