BERRY A HARRIS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928209

License Status

NOT RENEWED

Business

Title

First Name

BERRY

Middle

Last Name

HARRIS

Business Name

BERRY A HARRIS OD

Original Issue Date

10/04/2001

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/11/2005