ROBERT EDWARD FISCH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047105952

License Status

NOT RENEWED

Business

Title

First Name

ROBERT

Middle

EDWARD

Last Name

FISCH

Business Name

ROBERT EDWARD FISCH OD

Original Issue Date

01/12/1994

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

FLANAGAN

State

Zip

61740

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

09/11/2005