DONNA SEBASTIAN SPENCER Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****43

License Status

NOT RENEWED

Business

First Name

DONNA SEBASTIAN

Last Name

SPENCER

Business Name

DONNA SEBASTIAN SPENCER

Original Issue Date

03/26/1998

Effective Date

01/27/2014

Expiration Date

03/31/2016

City

MC LEANSBORO

State

Zip

62859

County

HAMILTON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016