ROBERT P EDWARDS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928207

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

EDWARDS

Suffix

Business Name

ROBERT P EDWARDS OD

Original Issue Date

10/04/2001

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/11/2005