TODD ROBERT WOLLBRINCK Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929627

License Status

NOT RENEWED

Business

First Name

TODD

Middle

ROBERT

Last Name

WOLLBRINCK

Business Name

TODD ROBERT WOLLBRINCK

Original Issue Date

08/05/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

09/11/2005