ROGER W FITCH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926081

License Status

NOT RENEWED

Business

First Name

ROGER

Middle

Last Name

FITCH

Suffix

Business Name

ROGER W FITCH OD

Original Issue Date

01/11/1999

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/11/2005