SANDRA STEIN BLOCK OD - Optometrist License in Illinois | # 047007451

SANDRA STEIN BLOCK OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007451

License Status

CANCELLED

Business

N

First Name

SANDRA

Middle

STEIN

Last Name

BLOCK

Suffix

OD

Business Name

SANDRA STEIN BLOCK OD

Original Issue Date

01/07/1989

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010