TYSON JAMES HERRMANN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930354

License Status

NOT RENEWED

Business

Title

First Name

TYSON

Middle

JAMES

Last Name

HERRMANN

Business Name

TYSON JAMES HERRMANN OD

Original Issue Date

06/24/2004

Effective Date

06/24/2004

Expiration Date

03/31/2006

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/11/2006