ROBERT MITCHELL QUILLEASH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929159

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

MITCHELL

Last Name

QUILLEASH

Suffix

Business Name

ROBERT MITCHELL QUILLEASH OD

Original Issue Date

11/21/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

09/11/2005