ROGER W FITCH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929153

License Status

NOT RENEWED

Business

First Name

ROGER

Middle

Last Name

FITCH

Suffix

Business Name

ROGER W FITCH OD

Original Issue Date

11/15/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

FARMINGTON

State

Zip

61531

County

FULTON

Ever Disciplined

LastModifiedDate

09/11/2005