FITCH W ROGER Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932734

License Status

NOT RENEWED

Business

First Name

FITCH

Middle

Last Name

ROGER

Business Name

FITCH W ROGER

Original Issue Date

12/18/2006

Effective Date

12/18/2006

Expiration Date

03/31/2008

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/02/2008