ROGER W FITCH OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930430

License Status

CANCELLED

Business

First Name

ROGER

Middle

Last Name

FITCH

Suffix

Business Name

ROGER W FITCH OD

Original Issue Date

08/12/2004

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

PROPHETSTOWN

State

Zip

61277

County

WHITESIDE

Ever Disciplined

LastModifiedDate

05/04/2010