RICHARD N ROBERTS OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934145

License Status

CANCELLED

Business

First Name

RICHARD

Middle

Last Name

ROBERTS

Suffix

Business Name

RICHARD N ROBERTS OD

Original Issue Date

04/25/2008

Effective Date

04/25/2008

Expiration Date

03/31/2010

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

05/04/2010