ROBERT LEWIS DAVIS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047107173

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

LEWIS

Last Name

DAVIS

Suffix

Business Name

ROBERT LEWIS DAVIS OD

Original Issue Date

09/02/1982

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60609

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005