MARCIA E BLAKE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047306808

License Status

NOT RENEWED

Business

First Name

MARCIA E

Last Name

BLAKE

Business Name

MARCIA E BLAKE

Original Issue Date

09/19/1987

Expiration Date

03/31/1990

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/01/2005