BLAIR BURTON LONSBERRY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008968

License Status

NOT RENEWED

Business

First Name

BLAIR

Middle

BURTON

Last Name

LONSBERRY

Suffix

Business Name

BLAIR BURTON LONSBERRY OD

Original Issue Date

02/25/1997

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005