EDWARD E PERRY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928549

License Status

NOT RENEWED

Business

Title

First Name

EDWARD

Middle

Last Name

PERRY

Business Name

EDWARD E PERRY OD

Original Issue Date

04/05/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

09/11/2005