DANIEL A WOLF OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925510

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

WOLF

Suffix

Business Name

DANIEL A WOLF OD

Original Issue Date

11/26/1997

Effective Date

06/12/1999

Expiration Date

03/31/1998

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

09/01/2005