WENDELL FARWELL Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047005723

License Status

CANCELLED

Business

First Name

WENDELL

Last Name

FARWELL

Business Name

WENDELL FARWELL

Original Issue Date

01/31/1987

Expiration Date

03/31/1990

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/01/2005