ROGER W FITCH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929154

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

03/31/2004

Expiration Date

03/31/2006

City

HAMILTON

State

Zip

62341

County

HANCOCK

Ever Disciplined

LastModifiedDate

05/11/2006