GEORGE S BLAGOUE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006515

License Status

NOT RENEWED

Business

First Name

GEORGE S

Last Name

BLAGOUE

Business Name

GEORGE S BLAGOUE

Original Issue Date

08/21/1973

Expiration Date

03/31/1986

City

CARLYLE

State

Zip

62231

County

CLINTON

Ever Disciplined

LastModifiedDate

08/31/2005

Case Number

1988001050

Action

Suspension

Discipline Start Date

09/29/1989