ROGER W FITCH OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047206836

License Status

CANCELLED

Business

First Name

ROGER

Middle

Last Name

FITCH

Suffix

Business Name

ROGER W FITCH OD

Original Issue Date

08/01/1987

Expiration Date

03/31/1988

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/01/2005