LAURA MARIE BLOUNT-ODUM OD - Optometrist License in Illinois | # 047028850

LAURA MARIE BLOUNT-ODUM OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047028850

License Status

NOT RENEWED

Business

N

First Name

LAURA

Middle

MARIE

Last Name

BLOUNT-ODUM

Suffix

OD

Business Name

LAURA MARIE BLOUNT-ODUM OD

Original Issue Date

11/01/1995

Effective Date

04/15/2002

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005