MICHAEL KENTON WILSON OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****82

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

KENTON

Last Name

WILSON

Business Name

MICHAEL KENTON WILSON OD

Original Issue Date

06/29/2017

Effective Date

03/03/2026

Expiration Date

03/31/2028

City

NASHVILLE

State

Zip

62263

County

WASHINGTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026