VERONICA L ROBERTS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930637

License Status

NOT RENEWED

Business

First Name

VERONICA

Middle

Last Name

ROBERTS

Suffix

Business Name

VERONICA L ROBERTS OD

Original Issue Date

10/01/2004

Effective Date

10/01/2004

Expiration Date

03/31/2006

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2006