ROGER D ROBERTS Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928968

License Status

NOT RENEWED

Business

First Name

ROGER D

Last Name

ROBERTS

Business Name

ROGER D ROBERTS

Original Issue Date

09/10/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005