KEVIN B WALTER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008669

License Status

NOT RENEWED

Business

First Name

KEVIN B

Last Name

WALTER

Suffix

Business Name

KEVIN B WALTER OD

Original Issue Date

09/21/1993

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

ELKHORN

State

Zip

53121

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/11/2005