MICHAEL J BLINSTRUP Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007311

License Status

NOT RENEWED

Business

First Name

MICHAEL J

Last Name

BLINSTRUP

Business Name

MICHAEL J BLINSTRUP

Original Issue Date

09/04/1980

Expiration Date

05/01/1982

City

CARPENTERSVILLE

State

Zip

60110

County

KANE

Ever Disciplined

LastModifiedDate

09/01/2005