ROBERT C SMITH Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934954

License Status

CANCELLED

Business

First Name

ROBERT

Middle

Last Name

SMITH

Business Name

ROBERT C SMITH

Original Issue Date

12/23/2008

Effective Date

12/23/2008

Expiration Date

03/31/2010

City

STEELEVILLE

State

Zip

62288

County

RANDOLPH

Ever Disciplined

LastModifiedDate

05/04/2010