LAURA NICOLE BLODGETT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****27

License Status

NOT RENEWED

Business

Title

First Name

LAURA

Middle

NICOLE

Last Name

BLODGETT

Business Name

LAURA NICOLE BLODGETT OD

Original Issue Date

08/05/2016

Effective Date

03/22/2022

Expiration Date

03/31/2024

City

CHICAGO

State

Zip

60613

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025