RANDY JOSEPH WILD - Optometrist License in Wisconsin | # 046007245

RANDY JOSEPH WILD

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007245

License Status

INACTIVE

Business

N

First Name

RANDY JOSEPH

Last Name

WILD

Business Name

RANDY JOSEPH WILD

Original Issue Date

08/06/1979

Expiration Date

03/31/1986

State

WI

Ever Disciplined

N

LastModifiedDate

08/31/2005