ROGER N BLANK Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047307466

License Status

NOT RENEWED

Business

First Name

ROGER N

Last Name

BLANK

Business Name

ROGER N BLANK

Original Issue Date

01/02/1987

Expiration Date

03/31/1992

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005