RICHARD N ROBERTS OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006299

License Status

INACTIVE

Business

First Name

RICHARD

Middle

Last Name

ROBERTS

Suffix

Business Name

RICHARD N ROBERTS OD

Original Issue Date

03/30/2010

Effective Date

03/30/2010

Expiration Date

03/31/2012

City

CHAMPAIGN

State

Zip

61822

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/12/2012