ANITA J WOOD OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****25

License Status

NOT RENEWED

Business

First Name

ANITA

Middle

Last Name

WOOD

Suffix

Business Name

ANITA J WOOD OD

Original Issue Date

02/28/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006