ROBERT E FANLON Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046004152

License Status

INACTIVE

Business

First Name

ROBERT E

Last Name

FANLON

Business Name

ROBERT E FANLON

Expiration Date

03/31/1990

City

WALKERTON

State

Zip

46574

County

INDIANA

Ever Disciplined

LastModifiedDate

08/31/2005