GARY T BRUSH OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008374

License Status

CANCELLED

Business

First Name

GARY T

Last Name

BRUSH

Suffix

Business Name

GARY T BRUSH OD

Original Issue Date

04/23/1993

Effective Date

03/10/2009

Expiration Date

03/31/2010

City

VIENNA

State

Zip

62995

County

JOHNSON

Ever Disciplined

LastModifiedDate

05/04/2010