JEFFREY J BLANCO OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047206809

License Status

CANCELLED

Business

First Name

JEFFREY

Middle

Last Name

BLANCO

Suffix

Business Name

JEFFREY J BLANCO OD

Original Issue Date

10/02/1991

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

03/13/2008