FREDERICK W WOOD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047004114

License Status

NOT RENEWED

Business

First Name

FREDERICK W

Last Name

WOOD

Business Name

FREDERICK W WOOD

Original Issue Date

10/01/1992

Expiration Date

03/31/1994

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

09/01/2005