BLAIR TANAKA OD - Optometrist License in Illinois | # 047927270

BLAIR TANAKA OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927270

License Status

NOT RENEWED

Business

N

First Name

BLAIR

Last Name

TANAKA

Suffix

OD

Business Name

BLAIR TANAKA OD

Original Issue Date

07/06/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005