ROBERT PAUL CHELBERG OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****34

License Status

CANCELLED

Business

First Name

ROBERT

Middle

PAUL

Last Name

CHELBERG

Suffix

Business Name

ROBERT PAUL CHELBERG OD

Original Issue Date

09/22/2004

Effective Date

09/22/2004

Expiration Date

03/31/2006

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006