MARTHA SUE SMITH OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009020

License Status

INACTIVE

Business

First Name

MARTHA

Middle

SUE

Last Name

SMITH

Suffix

Business Name

MARTHA SUE SMITH OD

Original Issue Date

08/20/1997

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

EAST DUBUQUE

State

Zip

61025

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

02/05/2008