ROBERT BENTLY WOODHAM Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007247

License Status

NOT RENEWED

Business

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

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

12/16/2009