LAURA MARIE BLOUNT-ODUM OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047028850

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

11/01/1995

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60603

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005