DARCI LEA PREWITT Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****09

License Status

NOT RENEWED

Business

First Name

DARCI

Middle

LEA

Last Name

PREWITT

Business Name

DARCI LEA PREWITT

Original Issue Date

11/13/2013

Effective Date

05/19/2016

Expiration Date

03/31/2018

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/22/2020