BLAIR TANAKA OD - Optometrist License in Illinois | # 046008124

BLAIR TANAKA OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008124

License Status

NOT RENEWED

Business

N

First Name

BLAIR

Last Name

TANAKA

Suffix

OD

Business Name

BLAIR TANAKA OD

Original Issue Date

08/24/1988

Effective Date

02/26/2014

Expiration Date

03/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

05/20/2016