ALYSSA MARIE HARRIS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****46

License Status

NOT RENEWED

Business

Title

First Name

ALYSSA

Middle

MARIE

Last Name

HARRIS

Business Name

ALYSSA MARIE HARRIS OD

Original Issue Date

12/02/2016

Effective Date

12/02/2016

Expiration Date

03/31/2018

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018