LARS A GENTRY OD - Optometrist License in Illinois | # 047931057

LARS A GENTRY OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931057

License Status

CANCELLED

Business

N

First Name

LARS

Middle

A

Last Name

GENTRY

Suffix

OD

Business Name

LARS A GENTRY OD

Original Issue Date

04/14/2005

Effective Date

01/18/2006

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

01/10/2008