ANITA J WOOD OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929342

License Status

NOT RENEWED

Business

First Name

ANITA

Middle

Last Name

WOOD

Suffix

Business Name

ANITA J WOOD OD

Original Issue Date

02/28/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

09/11/2005