DONNA SEBASTIAN SPENCER Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007689

License Status

CANCELLED

Business

First Name

DONNA SEBASTIAN

Last Name

SPENCER

Business Name

DONNA SEBASTIAN SPENCER

Original Issue Date

11/12/1986

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

MCLEANSBORO

State

Zip

62859

County

HAMILTON

Ever Disciplined

LastModifiedDate

05/04/2010