RAYMOND M BLAZEWICZ Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046003482

License Status

NOT RENEWED

Business

First Name

RAYMOND M

Last Name

BLAZEWICZ

Business Name

RAYMOND M BLAZEWICZ

Expiration Date

05/01/1982

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

08/31/2005