JAMES P WILSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****10

License Status

NOT RENEWED

Business

Title

First Name

JAMES P

Last Name

WILSON

Business Name

JAMES P WILSON OD

Original Issue Date

03/26/1996

Effective Date

03/17/2022

Expiration Date

03/31/2024

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025