COREY DEAN BRAY Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****10

License Status

NOT RENEWED

Business

First Name

COREY

Middle

DEAN

Last Name

BRAY

Business Name

COREY DEAN BRAY

Original Issue Date

03/28/2013

Effective Date

03/28/2013

Expiration Date

03/31/2014

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014