ROBERT C SMITH Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935916

License Status

CANCELLED

Business

First Name

ROBERT

Middle

Last Name

SMITH

Business Name

ROBERT C SMITH

Original Issue Date

02/10/2010

Effective Date

02/10/2010

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

01/04/2010