ROBERT D GOODWIN OD - Optometrist License in Illinois | # 047935612

ROBERT D GOODWIN OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935612

License Status

CANCELLED

Business

N

First Name

ROBERT

Middle

D

Last Name

GOODWIN

Suffix

OD

Business Name

ROBERT D GOODWIN OD

Original Issue Date

08/18/2009

Effective Date

08/18/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010