TYSON JAMES HERRMANN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****58

License Status

NOT RENEWED

Business

Title

First Name

TYSON

Middle

JAMES

Last Name

HERRMANN

Business Name

TYSON JAMES HERRMANN OD

Original Issue Date

11/02/2007

Effective Date

03/19/2010

Expiration Date

03/31/2012

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/16/2012