ROBERT MITCHELL QUILLEASH OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931095

License Status

CANCELLED

Business

First Name

ROBERT

Middle

MITCHELL

Last Name

QUILLEASH

Suffix

Business Name

ROBERT MITCHELL QUILLEASH OD

Original Issue Date

04/19/2005

Effective Date

04/19/2005

Expiration Date

03/31/2006

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/18/2006