ROBERT JAMES BLUMTHAL OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935362

License Status

CANCELLED

Business

First Name

ROBERT

Middle

JAMES

Last Name

BLUMTHAL

Suffix

Business Name

ROBERT JAMES BLUMTHAL OD

Original Issue Date

05/28/2009

Effective Date

05/28/2009

Expiration Date

03/31/2010

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

05/04/2010