SHIRLEY J BLUM Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046003783

License Status

INACTIVE

Business

First Name

SHIRLEY J

Last Name

BLUM

Business Name

SHIRLEY J BLUM

Expiration Date

03/31/1992

City

LACOSTA

State

Zip

92009

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

08/31/2005