MARTHA R TRIBBET OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927804

License Status

NOT RENEWED

Business

First Name

MARTHA

Middle

Last Name

TRIBBET

Suffix

Business Name

MARTHA R TRIBBET OD

Original Issue Date

03/21/2001

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/11/2005