BARRY S BLATTBERG OD - Optometrist License in Illinois | # 047935468

BARRY S BLATTBERG OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935468

License Status

CANCELLED

Business

N

Title

OD

First Name

BARRY

Middle

S

Last Name

BLATTBERG

Business Name

BARRY S BLATTBERG OD

Original Issue Date

07/06/2009

Effective Date

07/06/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010