ROBERT C SMITH Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****10

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

SMITH

Business Name

ROBERT C SMITH

Original Issue Date

08/20/2007

Effective Date

02/26/2018

Expiration Date

09/30/2020

City

DECATUR

State

Zip

62526

County

RANDOLPH

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/14/2021