NORMAN E BLASE OD - Optometrist License in Illinois | # 047037666

NORMAN E BLASE OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047037666

License Status

NOT RENEWED

Business

N

First Name

NORMAN

Middle

E

Last Name

BLASE

Suffix

OD

Business Name

NORMAN E BLASE OD

Original Issue Date

10/17/1992

Expiration Date

03/31/1994

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005