MINDY MARIE BLACKFORD - Optometrist License in Illinois | # 047933770

MINDY MARIE BLACKFORD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933770

License Status

CANCELLED

Business

N

First Name

MINDY

Middle

MARIE

Last Name

BLACKFORD

Business Name

MINDY MARIE BLACKFORD

Original Issue Date

02/15/2008

Effective Date

02/15/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010