SARAH ELIZABETH BLATCHFORD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925427

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

ELIZABETH

Last Name

BLATCHFORD

Business Name

SARAH ELIZABETH BLATCHFORD

Original Issue Date

08/26/1997

Effective Date

06/12/1999

Expiration Date

03/31/1998

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/01/2005