RONALD FARY OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934014

License Status

CANCELLED

Business

First Name

RONALD

Last Name

FARY

Suffix

Business Name

RONALD FARY OD

Original Issue Date

03/31/2008

Effective Date

03/31/2008

Expiration Date

03/31/2010

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

05/04/2010