WENDELL WYNN ANDERSON 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

WENDELL WYNN

Last Name

ANDERSON

Business Name

WENDELL WYNN ANDERSON

Original Issue Date

06/25/1996

Expiration Date

03/31/1998

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/02/2005