EDWARD E PERRY OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047056071

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

02/08/2008

Expiration Date

03/31/2010

City

ODIN

State

Zip

62870

County

MARION

Ever Disciplined

LastModifiedDate

05/04/2010