RANDY JOSEPH WILD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007245

License Status

INACTIVE

Business

First Name

RANDY JOSEPH

Last Name

WILD

Business Name

RANDY JOSEPH WILD

Original Issue Date

08/06/1979

Expiration Date

03/31/1986

City

NEENAH

State

Zip

54956

County

WISCONSIN

Ever Disciplined

LastModifiedDate

08/31/2005