ANTHONY BRYANT CARTER OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933344

License Status

CANCELLED

Business

First Name

ANTHONY

Middle

BRYANT

Last Name

CARTER

Suffix

Business Name

ANTHONY BRYANT CARTER OD

Original Issue Date

08/29/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

05/04/2010