DAVID S BLACK - Optometrist License in Wisconsin | # 046006807

DAVID S BLACK

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006807

License Status

INACTIVE

Business

N

First Name

DAVID S

Last Name

BLACK

Business Name

DAVID S BLACK

Original Issue Date

07/15/1976

Expiration Date

03/31/1990

State

WI

Ever Disciplined

N

LastModifiedDate

08/31/2005