VERONICA L ROBERTS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****59

License Status

NOT RENEWED

Business

First Name

VERONICA

Middle

Last Name

ROBERTS

Suffix

Business Name

VERONICA L ROBERTS OD

Original Issue Date

10/24/1997

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021