LAURA MARIE BLOUNT-ODUM OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047018850

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

MARIE

Last Name

BLOUNT-ODUM

Suffix

Business Name

LAURA MARIE BLOUNT-ODUM OD

Original Issue Date

10/26/1995

Expiration Date

03/31/1996

City

ST CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

09/01/2005