CAROLYN C GIBSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925929

License Status

NOT RENEWED

Business

Title

First Name

CAROLYN

Middle

Last Name

GIBSON

Business Name

CAROLYN C GIBSON OD

Original Issue Date

10/09/1998

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

DU QUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

09/11/2005