MARK S WILDER OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008594

License Status

INACTIVE

Business

First Name

MARK S

Last Name

WILDER

Suffix

Business Name

MARK S WILDER OD

Original Issue Date

02/05/1993

Expiration Date

03/31/1994

City

MUNCIE

State

Zip

47303

County

INDIANA

Ever Disciplined

LastModifiedDate

08/31/2005