TODD A ROBERT Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****36

License Status

NOT RENEWED

Business

First Name

TODD A

Last Name

ROBERT

Business Name

TODD A ROBERT

Original Issue Date

04/04/1997

Effective Date

03/04/2014

Expiration Date

03/31/2016

City

WESTCHESTER

State

Zip

60154

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016