ROBERT A LEVINE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928622

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

LEVINE

Suffix

Business Name

ROBERT A LEVINE OD

Original Issue Date

04/29/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

09/11/2005