SHIRLEY J BLUM Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047003783

License Status

NOT RENEWED

Business

First Name

SHIRLEY J

Last Name

BLUM

Business Name

SHIRLEY J BLUM

Original Issue Date

08/15/1987

Expiration Date

03/31/1988

City

CHICAGO

State

Zip

60603

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005