ROGER D ROBERTS Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934096

License Status

CANCELLED

Business

First Name

ROGER D

Last Name

ROBERTS

Business Name

ROGER D ROBERTS

Original Issue Date

04/10/2008

Effective Date

04/10/2008

Expiration Date

03/31/2010

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

05/04/2010