ROGER C CROLAND OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930667

License Status

NOT RENEWED

Business

First Name

ROGER

Middle

Last Name

CROLAND

Suffix

Business Name

ROGER C CROLAND OD

Original Issue Date

10/07/2004

Effective Date

10/07/2004

Expiration Date

03/31/2006

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

05/11/2006