JEFFREY J BLANCO OD - Optometrist License in Illinois | # 047931562

JEFFREY J BLANCO OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931562

License Status

CANCELLED

Business

N

First Name

JEFFREY

Middle

J

Last Name

BLANCO

Suffix

OD

Business Name

JEFFREY J BLANCO OD

Original Issue Date

10/18/2005

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

03/13/2008