LARRY LEE WILLIAMS OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932303

License Status

CANCELLED

Business

First Name

LARRY

Middle

LEE

Last Name

WILLIAMS

Suffix

Business Name

LARRY LEE WILLIAMS OD

Original Issue Date

06/05/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/04/2010