BARRY S BLATTBERG OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928233

License Status

CANCELLED

Business

Title

First Name

BARRY

Middle

Last Name

BLATTBERG

Business Name

BARRY S BLATTBERG OD

Original Issue Date

10/17/2001

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

05/04/2010