DEBRA SMOTHERS-CHAMPLEY OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047078739

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

10/27/2009

Expiration Date

03/31/2010

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/04/2010