TYSON JAMES HERRMANN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934158

License Status

CANCELLED

Business

Title

First Name

TYSON

Middle

JAMES

Last Name

HERRMANN

Business Name

TYSON JAMES HERRMANN OD

Original Issue Date

04/29/2008

Effective Date

04/29/2008

Expiration Date

03/31/2010

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/04/2010