BARRY A WAGNER OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006381

License Status

INACTIVE

Business

First Name

BARRY

Middle

Last Name

WAGNER

Suffix

Business Name

BARRY A WAGNER OD

Original Issue Date

08/01/1969

Effective Date

02/28/2014

Expiration Date

03/31/2016

City

CALABASAS

State

Zip

91302

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

02/03/2016