EDWARD E PERRY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927000

License Status

NOT RENEWED

Business

Title

First Name

EDWARD

Middle

Last Name

PERRY

Business Name

EDWARD E PERRY OD

Original Issue Date

04/24/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

09/11/2005