DEBRA SMOTHERS-CHAMPLEY OD - Optometrist License in Illinois | # 047930195

DEBRA SMOTHERS-CHAMPLEY OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930195

License Status

CANCELLED

Business

N

Title

OD

First Name

DEBRA

Last Name

SMOTHERS-CHAMPLEY

Business Name

DEBRA SMOTHERS-CHAMPLEY OD

Original Issue Date

05/26/2004

Effective Date

06/09/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010