MARC C SARMIENTO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925499

License Status

NOT RENEWED

Business

Title

First Name

MARC

Middle

Last Name

SARMIENTO

Business Name

MARC C SARMIENTO OD

Original Issue Date

11/12/1997

Effective Date

03/11/2004

Expiration Date

03/31/2006

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

05/11/2006