DONALD E WIGHT OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932923

License Status

CANCELLED

Business

First Name

DONALD

Middle

Last Name

WIGHT

Suffix

Business Name

DONALD E WIGHT OD

Original Issue Date

03/23/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010