DONNA SEBASTIAN SPENCER Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****87

License Status

NOT RENEWED

Business

First Name

DONNA SEBASTIAN

Last Name

SPENCER

Business Name

DONNA SEBASTIAN SPENCER

Original Issue Date

05/30/1996

Effective Date

04/01/2022

Expiration Date

03/31/2024

City

BENTON

State

Zip

62812

County

FRANKLIN

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025