ROBERT EDWARD FISCH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047155952

License Status

NOT RENEWED

Business

Title

First Name

ROBERT

Middle

EDWARD

Last Name

FISCH

Business Name

ROBERT EDWARD FISCH OD

Original Issue Date

01/13/1994

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/11/2005