LARRY LEE WILLIAMS OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****54

License Status

INACTIVE

Business

First Name

LARRY

Middle

LEE

Last Name

WILLIAMS

Suffix

Business Name

LARRY LEE WILLIAMS OD

Original Issue Date

06/04/1996

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

GEARHART

State

Zip

97138

County

OREGON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/05/2010