BRIAN D HENSON OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934868

License Status

CANCELLED

Business

First Name

BRIAN

Middle

Last Name

HENSON

Suffix

Business Name

BRIAN D HENSON OD

Original Issue Date

11/20/2008

Effective Date

11/20/2008

Expiration Date

03/31/2010

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/04/2010