BRIAN D HENSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007747

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

HENSON

Suffix

Business Name

BRIAN D HENSON OD

Original Issue Date

05/06/1986

Expiration Date

03/31/1990

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/01/2005