JOSHUA DAVID WILSON Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935354

License Status

CANCELLED

Business

First Name

JOSHUA

Middle

DAVID

Last Name

WILSON

Business Name

JOSHUA DAVID WILSON

Original Issue Date

05/26/2009

Effective Date

05/26/2009

Expiration Date

03/31/2010

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

05/04/2010