ALYSSA M BERRY OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046011339

License Status

INACTIVE

Business

Title

First Name

ALYSSA

Middle

Last Name

BERRY

Business Name

ALYSSA M BERRY OD

Original Issue Date

07/30/2019

Effective Date

03/04/2020

Expiration Date

05/31/2022

City

INDIANAPOLIS

State

Zip

46240

Ever Disciplined

LastModifiedDate

05/25/2022