DONALD E WIGHT OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931732

License Status

CANCELLED

Business

First Name

DONALD

Middle

Last Name

WIGHT

Suffix

Business Name

DONALD E WIGHT OD

Original Issue Date

02/17/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010