ROBERT T CARLSON Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007906

License Status

CANCELLED

Business

First Name

ROBERT T

Last Name

CARLSON

Business Name

ROBERT T CARLSON

Original Issue Date

12/16/1986

Expiration Date

03/31/1988

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/01/2005