WENDELL WYNN ANDERSON Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047106512

License Status

NOT RENEWED

Business

First Name

WENDELL WYNN

Last Name

ANDERSON

Business Name

WENDELL WYNN ANDERSON

Original Issue Date

03/22/1982

Expiration Date

03/31/1996

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

09/01/2005