ROBERT J ENGSTROM Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****35

License Status

NOT RENEWED

Business

First Name

ROBERT J

Last Name

ENGSTROM

Business Name

ROBERT J ENGSTROM

Original Issue Date

03/18/1998

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

CANTON

State

Zip

61520

County

FULTON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005