DEBRA SMOTHERS-CHAMPLEY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047148739

License Status

NOT RENEWED

Business

Title

First Name

DEBRA

Last Name

SMOTHERS-CHAMPLEY

Business Name

DEBRA SMOTHERS-CHAMPLEY OD

Original Issue Date

05/08/1996

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/11/2005