ROBERT G MISENER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****74

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

MISENER

Suffix

Business Name

ROBERT G MISENER OD

Original Issue Date

11/29/2000

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

NORTHBROOK

State

Zip

60062

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010