CARRIE SPENCER SYPHERD OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930523

License Status

NOT RENEWED

Business

First Name

CARRIE

Middle

SPENCER

Last Name

SYPHERD

Suffix

Business Name

CARRIE SPENCER SYPHERD OD

Original Issue Date

08/23/2004

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

AURORA

State

Zip

60505

County

KANE

Ever Disciplined

LastModifiedDate

05/02/2008