DARCI LEA PREWITT Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933668

License Status

CANCELLED

Business

First Name

DARCI

Middle

LEA

Last Name

PREWITT

Business Name

DARCI LEA PREWITT

Original Issue Date

01/02/2008

Effective Date

01/02/2008

Expiration Date

03/31/2010

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

MACON

Ever Disciplined

LastModifiedDate

05/04/2010