KENNETH S BLUM OD - Optometrist License in New York | # 046007281

KENNETH S BLUM OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007281

License Status

NOT RENEWED

Business

N

First Name

KENNETH S

Last Name

BLUM

Suffix

OD

Business Name

KENNETH S BLUM OD

Original Issue Date

08/07/1980

Expiration Date

03/31/1994

State

NY

Ever Disciplined

N

LastModifiedDate

08/31/2005