SANDRA STEIN BLOCK OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007451

License Status

CANCELLED

Business

First Name

SANDRA

Middle

STEIN

Last Name

BLOCK

Suffix

Business Name

SANDRA STEIN BLOCK OD

Original Issue Date

01/07/1989

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010