ROGER D ROBERTS Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930147

License Status

CANCELLED

Business

First Name

ROGER D

Last Name

ROBERTS

Business Name

ROGER D ROBERTS

Original Issue Date

05/26/2004

Effective Date

03/24/2008

Expiration Date

03/31/2010

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010