DAVID A WAGERS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925737

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

WAGERS

Suffix

Business Name

DAVID A WAGERS OD

Original Issue Date

06/12/1998

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

09/11/2005