ANITA J WOOD OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047158533

License Status

NOT RENEWED

Business

First Name

ANITA

Middle

Last Name

WOOD

Suffix

Business Name

ANITA J WOOD OD

Original Issue Date

08/29/1994

Expiration Date

03/31/1996

City

MOUNT PULASKI

State

Zip

62548

County

LOGAN

Ever Disciplined

LastModifiedDate

09/01/2005