BARRY S BLATTBERG OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934237

License Status

CANCELLED

Business

Title

First Name

BARRY

Middle

Last Name

BLATTBERG

Business Name

BARRY S BLATTBERG OD

Original Issue Date

05/21/2008

Effective Date

05/21/2008

Expiration Date

03/31/2010

City

RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010