PAUL A WAGNER Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007590

License Status

INACTIVE

Business

First Name

PAUL A

Last Name

WAGNER

Business Name

PAUL A WAGNER

Original Issue Date

08/03/1982

Expiration Date

03/31/1986

City

PHOENIX

State

Zip

85044

County

ARIZONA

Ever Disciplined

LastModifiedDate

08/31/2005