DANIEL A WOLF OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927406

License Status

CANCELLED

Business

First Name

DANIEL

Middle

Last Name

WOLF

Suffix

Business Name

DANIEL A WOLF OD

Original Issue Date

09/14/2000

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CARLYLE

State

Zip

62231

County

CLINTON

Ever Disciplined

LastModifiedDate

05/04/2010