ANITA J WOOD OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047078533

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

Expiration Date

03/31/1996

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

09/01/2005