RICHARD EUGENE BLUNK Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006516

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

EUGENE

Last Name

BLUNK

Business Name

RICHARD EUGENE BLUNK

Original Issue Date

08/21/1973

Effective Date

02/04/2016

Expiration Date

03/31/2018

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/19/2018