LARS A GENTRY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008215

License Status

NOT RENEWED

Business

First Name

LARS

Middle

Last Name

GENTRY

Suffix

Business Name

LARS A GENTRY OD

Original Issue Date

06/02/1993

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

09/11/2005