BARRY S BLATTBERG OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928706

License Status

CANCELLED

Business

Title

First Name

BARRY

Middle

Last Name

BLATTBERG

Business Name

BARRY S BLATTBERG OD

Original Issue Date

05/16/2002

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

05/04/2010