ROBERT A LEVINE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047087931

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

LEVINE

Suffix

Business Name

ROBERT A LEVINE OD

Original Issue Date

12/28/1994

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

09/11/2005