SANDRA STEIN BLOCK OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007451

License Status

INACTIVE

Business

First Name

SANDRA

Middle

STEIN

Last Name

BLOCK

Suffix

Business Name

SANDRA STEIN BLOCK OD

Original Issue Date

08/10/1981

Effective Date

02/18/2020

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

03/03/2022