BRIAN D HENSON OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933518

License Status

CANCELLED

Business

First Name

BRIAN

Middle

Last Name

HENSON

Suffix

Business Name

BRIAN D HENSON OD

Original Issue Date

10/29/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010