ROGER N BLANK Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047107466

License Status

NOT RENEWED

Business

First Name

ROGER N

Last Name

BLANK

Business Name

ROGER N BLANK

Original Issue Date

09/29/1981

Expiration Date

03/31/1984

City

BUFFALO GROVE

State

Zip

60090

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005