WILSON W MOVIC Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****85

License Status

CANCELLED

Business

First Name

WILSON

Middle

Last Name

MOVIC

Business Name

WILSON W MOVIC

Original Issue Date

05/22/1996

Effective Date

02/19/2016

Expiration Date

03/31/2018

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/12/2018