BRIAN D HENSON OD - Optometrist License in Illinois | # 047934868

BRIAN D HENSON OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934868

License Status

CANCELLED

Business

N

First Name

BRIAN

Middle

D

Last Name

HENSON

Suffix

OD

Business Name

BRIAN D HENSON OD

Original Issue Date

11/20/2008

Effective Date

11/20/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010