DONALD E WIGHT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007443

License Status

NOT RENEWED

Business

First Name

DONALD

Middle

Last Name

WIGHT

Suffix

Business Name

DONALD E WIGHT OD

Original Issue Date

08/17/1993

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/11/2005