CARRIE SPENCER SYPHERD OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930871

License Status

CANCELLED

Business

First Name

CARRIE

Middle

SPENCER

Last Name

SYPHERD

Suffix

Business Name

CARRIE SPENCER SYPHERD OD

Original Issue Date

01/14/2005

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

AURORA

State

Zip

60504

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010