W KEVIN WRIGHT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****14

License Status

NOT RENEWED

Business

First Name

Middle

KEVIN

Last Name

WRIGHT

Suffix

Business Name

W KEVIN WRIGHT OD

Original Issue Date

04/17/1996

Effective Date

01/12/2018

Expiration Date

09/30/2020

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021