CARRIE SPENCER SYPHERD OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935813

License Status

CANCELLED

Business

First Name

CARRIE

Middle

SPENCER

Last Name

SYPHERD

Suffix

Business Name

CARRIE SPENCER SYPHERD OD

Original Issue Date

10/23/2009

Effective Date

10/23/2009

Expiration Date

03/31/2010

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010