ROBERT R RICHARDSON OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934417

License Status

CANCELLED

Business

First Name

ROBERT

Middle

Last Name

RICHARDSON

Suffix

Business Name

ROBERT R RICHARDSON OD

Original Issue Date

07/21/2008

Effective Date

07/21/2008

Expiration Date

03/31/2010

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

05/04/2010