BRYAN WESLEY WOOD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934671

License Status

CANCELLED

Business

First Name

BRYAN

Middle

WESLEY

Last Name

WOOD

Business Name

BRYAN WESLEY WOOD

Original Issue Date

09/21/2008

Effective Date

09/21/2008

Expiration Date

03/31/2010

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

05/04/2010