BRIAN PAUL BERRY OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928809

License Status

CANCELLED

Business

First Name

BRIAN

Middle

PAUL

Last Name

BERRY

Suffix

Business Name

BRIAN PAUL BERRY OD

Original Issue Date

07/19/2002

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CREST HILL

State

Zip

60403

County

WILL

Ever Disciplined

LastModifiedDate

05/04/2010