INGER L GIBSON OD - Optometrist License in Wisconsin | # 34*****07

INGER L GIBSON OD

Business Entity

CANCELLED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****07

License Status

CANCELLED

Business

N

First Name

INGER L

Last Name

GIBSON

Suffix

OD

Business Name

INGER L GIBSON OD

Original Issue Date

06/14/1996

Effective Date

02/19/2004

Expiration Date

03/31/2006

State

WI

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

IV

Ever Disciplined

N

LastModifiedDate

01/18/2006