ROGER W FITCH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925278

License Status

NOT RENEWED

Business

First Name

ROGER

Middle

Last Name

FITCH

Suffix

Business Name

ROGER W FITCH OD

Original Issue Date

04/02/1997

Effective Date

06/12/1999

Expiration Date

03/31/1998

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

09/01/2005