EDWARD E PERRY OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047036071

License Status

CANCELLED

Business

Title

First Name

EDWARD

Middle

Last Name

PERRY

Business Name

EDWARD E PERRY OD

Original Issue Date

11/14/1996

Effective Date

05/09/2008

Expiration Date

03/31/2010

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

05/04/2010