DANIEL A WOLF OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926811

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

WOLF

Suffix

Business Name

DANIEL A WOLF OD

Original Issue Date

02/29/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/11/2005