TIMOTHY N WILSON - Optometrist License in Wisconsin | # 34*****00

TIMOTHY N WILSON

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****00

License Status

NOT RENEWED

Business

N

First Name

TIMOTHY

Middle

N

Last Name

WILSON

Business Name

TIMOTHY N WILSON

Original Issue Date

06/30/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

WI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

IV

Ever Disciplined

N

LastModifiedDate

05/04/2010