MARC C SARMIENTO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****23

License Status

NOT RENEWED

Business

Title

First Name

MARC

Middle

Last Name

SARMIENTO

Business Name

MARC C SARMIENTO OD

Original Issue Date

05/30/1996

Effective Date

01/12/2000

Expiration Date

03/31/1998

City

LINCOLN

State

Zip

62656

County

LOGAN

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006