ROBERT MITCHELL QUILLEASH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929105

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

MITCHELL

Last Name

QUILLEASH

Suffix

Business Name

ROBERT MITCHELL QUILLEASH OD

Original Issue Date

10/22/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/11/2005