CARRIE SPENCER SYPHERD OD - Optometrist License in Illinois | # 047935813

CARRIE SPENCER SYPHERD OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935813

License Status

CANCELLED

Business

N

First Name

CARRIE

Middle

SPENCER

Last Name

SYPHERD

Suffix

OD

Business Name

CARRIE SPENCER SYPHERD OD

Original Issue Date

10/23/2009

Effective Date

10/23/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010