ROBERT C SMITH Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933316

License Status

CANCELLED

Business

First Name

ROBERT

Middle

Last Name

SMITH

Business Name

ROBERT C SMITH

Original Issue Date

08/20/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

SPARTA

State

Zip

62286

County

RANDOLPH

Ever Disciplined

LastModifiedDate

05/04/2010