RYAN JAMES WILSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****60

License Status

NOT RENEWED

Business

Title

First Name

RYAN

Middle

JAMES

Last Name

WILSON

Business Name

RYAN JAMES WILSON OD

Original Issue Date

05/12/2006

Effective Date

02/19/2014

Expiration Date

03/31/2016

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II IV

Ever Disciplined

LastModifiedDate

05/20/2016