DARCI LEA PREWITT Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934121

License Status

CANCELLED

Business

First Name

DARCI

Middle

LEA

Last Name

PREWITT

Business Name

DARCI LEA PREWITT

Original Issue Date

04/18/2008

Effective Date

04/18/2008

Expiration Date

03/31/2010

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/04/2010