TIMOTHY N WILSON Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****00

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

Last Name

WILSON

Business Name

TIMOTHY N WILSON

Original Issue Date

06/30/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

FITCHBURG

State

Zip

53711

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/04/2010