DANIEL A WOLF OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927718

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

WOLF

Suffix

Business Name

DANIEL A WOLF OD

Original Issue Date

02/05/2001

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

09/11/2005