BRIAN D HENSON OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934275

License Status

CANCELLED

Business

First Name

BRIAN

Middle

Last Name

HENSON

Suffix

Business Name

BRIAN D HENSON OD

Original Issue Date

06/10/2008

Effective Date

06/10/2008

Expiration Date

03/31/2010

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/04/2010