ROGER W FITCH OD - Optometrist License in Illinois | # 047929766

ROGER W FITCH OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929766

License Status

CANCELLED

Business

N

First Name

ROGER

Middle

W

Last Name

FITCH

Suffix

OD

Business Name

ROGER W FITCH OD

Original Issue Date

10/16/2003

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010