STEVEN MICHAEL WILSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046011320

License Status

NOT RENEWED

Business

Title

First Name

STEVEN

Middle

MICHAEL

Last Name

WILSON

Business Name

STEVEN MICHAEL WILSON OD

Original Issue Date

06/21/2019

Effective Date

02/20/2020

Expiration Date

05/31/2022

City

VALDOSTA

State

Zip

31604

County

GEORGIA

Ever Disciplined

LastModifiedDate

07/27/2022