LYNN A WOLLENBERG OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****25

License Status

ACTIVE

Business

First Name

LYNN

Middle

Last Name

WOLLENBERG

Suffix

Business Name

LYNN A WOLLENBERG OD

Original Issue Date

03/13/2018

Effective Date

01/10/2024

Expiration Date

03/31/2026

City

FORSYTH

State

Zip

62535

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/08/2026