BARRY S BLATTBERG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931691

License Status

NOT RENEWED

Business

Title

First Name

BARRY

Middle

Last Name

BLATTBERG

Business Name

BARRY S BLATTBERG OD

Original Issue Date

02/15/2006

Effective Date

02/15/2006

Expiration Date

03/31/2008

City

SCHAUMBURG

State

Zip

60173

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008