TYSON JAMES HERRMANN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****44

License Status

NOT RENEWED

Business

Title

First Name

TYSON

Middle

JAMES

Last Name

HERRMANN

Business Name

TYSON JAMES HERRMANN OD

Original Issue Date

06/09/2008

Effective Date

03/19/2010

Expiration Date

03/31/2012

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012