DEBRA SMOTHERS-CHAMPLEY OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047038739

License Status

CANCELLED

Business

Title

First Name

DEBRA

Last Name

SMOTHERS-CHAMPLEY

Business Name

DEBRA SMOTHERS-CHAMPLEY OD

Original Issue Date

05/08/1996

Effective Date

10/14/2008

Expiration Date

03/31/2010

City

MOUNT PULASKI

State

Zip

62548

County

LOGAN

Ever Disciplined

LastModifiedDate

05/04/2010