HENRY JOHN WIRTH III Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006698

License Status

NOT RENEWED

Business

First Name

HENRY JOHN

Last Name

WIRTH III

Business Name

HENRY JOHN WIRTH III

Original Issue Date

03/06/1975

Effective Date

02/18/2004

Expiration Date

03/31/2006

City

LOS LUNAS

State

Zip

87031

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

05/11/2006