ROGER D ROBERTS Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934091

License Status

CANCELLED

Business

First Name

ROGER D

Last Name

ROBERTS

Business Name

ROGER D ROBERTS

Original Issue Date

04/09/2008

Effective Date

04/09/2008

Expiration Date

03/31/2010

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010