DAVID A WAGERS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926143

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

WAGERS

Suffix

Business Name

DAVID A WAGERS OD

Original Issue Date

03/10/1999

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

PEORIA

State

Zip

61613

County

PEORIA

Ever Disciplined

LastModifiedDate

09/11/2005