CAROLYN C GIBSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932321

License Status

NOT RENEWED

Business

Title

First Name

CAROLYN

Middle

Last Name

GIBSON

Business Name

CAROLYN C GIBSON OD

Original Issue Date

06/05/2006

Effective Date

06/05/2006

Expiration Date

03/31/2008

City

SPARTA

State

Zip

62286

County

RANDOLPH

Ever Disciplined

LastModifiedDate

05/02/2008