ROBERT EDWARD FISCH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****39

License Status

NOT RENEWED

Business

Title

First Name

ROBERT

Middle

EDWARD

Last Name

FISCH

Business Name

ROBERT EDWARD FISCH OD

Original Issue Date

10/24/1996

Effective Date

02/05/2014

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60623

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/20/2016