SHARNA A WILTZ OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****81

License Status

NOT RENEWED

Business

First Name

SHARNA

Middle

Last Name

WILTZ

Suffix

Business Name

SHARNA A WILTZ OD

Original Issue Date

10/01/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

PEORIA

State

Zip

61602

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/05/2016