ANITA J WOOD OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047038533

License Status

NOT RENEWED

Business

First Name

ANITA

Middle

Last Name

WOOD

Suffix

Business Name

ANITA J WOOD OD

Original Issue Date

05/03/1994

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/11/2005