KIMBERLY VICARI ROBERTSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****04

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

VICARI

Last Name

ROBERTSON

Suffix

Business Name

KIMBERLY VICARI ROBERTSON OD

Original Issue Date

12/02/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006