LARRY G BROKERING OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006446

License Status

NOT RENEWED

Business

First Name

LARRY

Middle

Last Name

BROKERING

Suffix

Business Name

LARRY G BROKERING OD

Original Issue Date

05/28/1975

Expiration Date

01/01/1997

City

NASHVILLE

State

Zip

62263

County

WASHINGTON

Ever Disciplined

LastModifiedDate

09/01/2005