ROBERT MITCHELL QUILLEASH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926761

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

MITCHELL

Last Name

QUILLEASH

Suffix

Business Name

ROBERT MITCHELL QUILLEASH OD

Original Issue Date

02/07/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

09/11/2005