ROBERT J IRVINE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****94

License Status

NOT RENEWED

Business

First Name

ROBERT J

Last Name

IRVINE

Business Name

ROBERT J IRVINE

Original Issue Date

05/30/1996

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/02/2008