RICHARD N ROBERTS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****40

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

ROBERTS

Suffix

Business Name

RICHARD N ROBERTS OD

Original Issue Date

05/27/2003

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/02/2008