DAVID CUE WIEGMAN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934448

License Status

CANCELLED

Business

Title

First Name

DAVID

Middle

CUE

Last Name

WIEGMAN

Business Name

DAVID CUE WIEGMAN OD

Original Issue Date

07/29/2008

Effective Date

07/29/2008

Expiration Date

03/31/2010

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/04/2010