ANTHONY BRYANT CARTER OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934672

License Status

CANCELLED

Business

First Name

ANTHONY

Middle

BRYANT

Last Name

CARTER

Suffix

Business Name

ANTHONY BRYANT CARTER OD

Original Issue Date

09/22/2008

Effective Date

09/22/2008

Expiration Date

03/31/2010

City

MENARD

State

Zip

62259

County

RANDOLPH

Ever Disciplined

LastModifiedDate

05/04/2010