TODD A ROBERT Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****37

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

05/18/2000

Expiration Date

03/31/2000

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006