FERN S BLOCK Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046004071

License Status

INACTIVE

Business

First Name

FERN S

Last Name

BLOCK

Business Name

FERN S BLOCK

Expiration Date

03/31/1994

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

08/31/2005