RICHARD EUGENE BLUNK Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925350

License Status

CANCELLED

Business

First Name

RICHARD

Middle

EUGENE

Last Name

BLUNK

Business Name

RICHARD EUGENE BLUNK

Original Issue Date

06/03/1997

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/19/2008