LARS A GENTRY OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926762

License Status

CANCELLED

Business

First Name

LARS

Middle

Last Name

GENTRY

Suffix

Business Name

LARS A GENTRY OD

Original Issue Date

02/07/2000

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

05/04/2010