ROGER C CROLAND OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007005

License Status

CANCELLED

Business

First Name

ROGER

Middle

Last Name

CROLAND

Suffix

Business Name

ROGER C CROLAND OD

Original Issue Date

01/22/1979

Expiration Date

01/01/1997

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/01/2005