BRIAN PAUL BERRY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927996

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

PAUL

Last Name

BERRY

Suffix

Business Name

BRIAN PAUL BERRY OD

Original Issue Date

07/24/2001

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005