ROBERT EDWARD FISCH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925886

License Status

NOT RENEWED

Business

Title

First Name

ROBERT

Middle

EDWARD

Last Name

FISCH

Business Name

ROBERT EDWARD FISCH OD

Original Issue Date

09/15/1998

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

PIPER CITY

State

Zip

60959

County

FORD

Ever Disciplined

LastModifiedDate

09/11/2005