ROBERT JAMES BLUMTHAL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926973

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

JAMES

Last Name

BLUMTHAL

Suffix

Business Name

ROBERT JAMES BLUMTHAL OD

Original Issue Date

04/17/2000

Effective Date

03/11/2004

Expiration Date

03/31/2006

City

PETERSBURG

State

Zip

62675

County

MENARD

Ever Disciplined

LastModifiedDate

05/11/2006