WILLIAM A BLAIR Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047106028

License Status

CANCELLED

Business

First Name

WILLIAM A

Last Name

BLAIR

Business Name

WILLIAM A BLAIR

Original Issue Date

11/03/1977

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005