MARCIA E BLAKE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006808

License Status

NOT RENEWED

Business

First Name

MARCIA E

Last Name

BLAKE

Business Name

MARCIA E BLAKE

Original Issue Date

04/24/1987

Expiration Date

03/31/1988

City

INDIAN HEAD PARK

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005