DEBRA SMOTHERS-CHAMPLEY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047168739

License Status

NOT RENEWED

Business

Title

First Name

DEBRA

Last Name

SMOTHERS-CHAMPLEY

Business Name

DEBRA SMOTHERS-CHAMPLEY OD

Original Issue Date

07/11/1996

Expiration Date

03/31/1998

City

PETERSBURG

State

Zip

62675

County

MENARD

Ever Disciplined

LastModifiedDate

09/01/2005