STEVEN MICHAEL WILSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****66

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

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV

Ever Disciplined

LastModifiedDate

07/27/2022