ROBERT L DONOVAN Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047004424

License Status

CANCELLED

Business

First Name

ROBERT L

Last Name

DONOVAN

Business Name

ROBERT L DONOVAN

Original Issue Date

04/26/1974

Expiration Date

01/01/1997

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/01/2005