MARCIA E BLAKE - Optometrist License in Illinois | # 047006808

MARCIA E BLAKE

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006808

License Status

NOT RENEWED

Business

N

First Name

MARCIA E

Last Name

BLAKE

Business Name

MARCIA E BLAKE

Original Issue Date

04/24/1987

Expiration Date

03/31/1988

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005