RYAN JAMES WILSON OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932186

License Status

CANCELLED

Business

Title

First Name

RYAN

Middle

JAMES

Last Name

WILSON

Business Name

RYAN JAMES WILSON OD

Original Issue Date

04/21/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/04/2010