MARTHA R TRIBBET OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932147

License Status

NOT RENEWED

Business

First Name

MARTHA

Middle

Last Name

TRIBBET

Suffix

Business Name

MARTHA R TRIBBET OD

Original Issue Date

04/20/2006

Effective Date

04/20/2006

Expiration Date

03/31/2008

City

FORSYTH

State

Zip

62535

County

MACON

Ever Disciplined

LastModifiedDate

05/02/2008