ROBERT R RICHARDSON OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047057060

License Status

CANCELLED

Business

First Name

ROBERT

Middle

Last Name

RICHARDSON

Suffix

Business Name

ROBERT R RICHARDSON OD

Original Issue Date

06/22/1994

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/04/2010