MELISSA M WISNIEWSKI OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009414

License Status

INACTIVE

Business

First Name

MELISSA

Middle

Last Name

WISNIEWSKI

Suffix

Business Name

MELISSA M WISNIEWSKI OD

Original Issue Date

10/10/2001

Effective Date

01/31/2012

Expiration Date

03/31/2014

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

01/09/2014