ROBERT EDWARD FISCH OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047255952

License Status

CANCELLED

Business

Title

First Name

ROBERT

Middle

EDWARD

Last Name

FISCH

Business Name

ROBERT EDWARD FISCH OD

Original Issue Date

01/19/1994

Effective Date

04/04/2008

Expiration Date

03/31/2010

City

SOUTH BELOIT

State

Zip

61080

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010