MARVIN BLOCH Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047004001

License Status

NOT RENEWED

Business

First Name

MARVIN

Last Name

BLOCH

Business Name

MARVIN BLOCH

Original Issue Date

11/14/1975

Expiration Date

03/31/1984

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005