DAVID E WEGNER Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****28

License Status

NOT RENEWED

Business

First Name

DAVID E

Last Name

WEGNER

Business Name

DAVID E WEGNER

Original Issue Date

01/05/2000

Effective Date

03/03/2014

Expiration Date

03/31/2016

City

PARIS

State

Zip

61944

County

EDGAR

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016