LYNN A WOLLENBERG OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****59

License Status

ACTIVE

Business

First Name

LYNN

Middle

Last Name

WOLLENBERG

Suffix

Business Name

LYNN A WOLLENBERG OD

Original Issue Date

05/09/2017

Effective Date

01/10/2024

Expiration Date

03/31/2026

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/08/2026