BRYCE A BOENTE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046011628

License Status

NOT RENEWED

Business

Title

First Name

BRYCE

Middle

Last Name

BOENTE

Business Name

BRYCE A BOENTE OD

Original Issue Date

06/14/2022

Effective Date

06/14/2022

Expiration Date

03/31/2024

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

02/05/2025