ROBERT A TEETER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931364

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

TEETER

Suffix

Business Name

ROBERT A TEETER OD

Original Issue Date

08/12/2005

Effective Date

08/12/2005

Expiration Date

03/31/2006

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/11/2006