RICHARD N ROBERTS OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931883

License Status

CANCELLED

Business

First Name

RICHARD

Middle

Last Name

ROBERTS

Suffix

Business Name

RICHARD N ROBERTS OD

Original Issue Date

03/31/2006

Effective Date

07/23/2008

Expiration Date

03/31/2010

City

DECATUR

State

Zip

62523

County

MACON

Ever Disciplined

LastModifiedDate

05/04/2010