LYNN A WOLLENBERG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008234

License Status

NOT RENEWED

Business

First Name

LYNN

Middle

Last Name

WOLLENBERG

Suffix

Business Name

LYNN A WOLLENBERG OD

Original Issue Date

04/10/1992

Expiration Date

03/31/1994

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

09/01/2005