BLAIR TANAKA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008124

License Status

NOT RENEWED

Business

First Name

BLAIR

Last Name

TANAKA

Suffix

Business Name

BLAIR TANAKA OD

Original Issue Date

08/24/1988

Effective Date

02/26/2014

Expiration Date

03/31/2016

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

05/20/2016