JULIE MARY BLENKER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929166

License Status

NOT RENEWED

Business

First Name

JULIE

Middle

MARY

Last Name

BLENKER

Suffix

Business Name

JULIE MARY BLENKER OD

Original Issue Date

11/21/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

09/11/2005