ROGER W FITCH OD - Optometrist License in Illinois | # 047026836

ROGER W FITCH OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047026836

License Status

NOT RENEWED

Business

N

First Name

ROGER

Middle

W

Last Name

FITCH

Suffix

OD

Business Name

ROGER W FITCH OD

Original Issue Date

12/16/1994

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005