NICOLE M WILSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046011340

License Status

NOT RENEWED

Business

Title

First Name

NICOLE

Middle

Last Name

WILSON

Business Name

NICOLE M WILSON OD

Original Issue Date

07/30/2019

Effective Date

03/16/2020

Expiration Date

05/31/2022

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

07/27/2022