ROBERT C SMITH Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****06

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

SMITH

Business Name

ROBERT C SMITH

Original Issue Date

07/13/2006

Effective Date

02/13/2014

Expiration Date

03/31/2016

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/20/2016