ROBERT BENTLY WOODHAM - Optometrist License in Illinois | # 046007247

ROBERT BENTLY WOODHAM

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007247

License Status

NOT RENEWED

Business

N

First Name

ROBERT BENTLY

Last Name

WOODHAM

Business Name

ROBERT BENTLY WOODHAM

Original Issue Date

08/06/1979

Effective Date

04/15/2002

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/16/2009