DONALD E WIGHT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****30

License Status

NOT RENEWED

Business

First Name

DONALD

Middle

Last Name

WIGHT

Suffix

Business Name

DONALD E WIGHT OD

Original Issue Date

06/13/1996

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006