BRIAN M ROSS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****86

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

ROSS

Suffix

Business Name

BRIAN M ROSS OD

Original Issue Date

03/30/2005

Effective Date

03/31/2014

Expiration Date

03/31/2016

City

SUMNER

State

Zip

62466

County

LAWRENCE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016