RICHARD EUGENE BLUNK Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****31

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

EUGENE

Last Name

BLUNK

Business Name

RICHARD EUGENE BLUNK

Original Issue Date

05/07/1996

Effective Date

02/04/2016

Expiration Date

03/31/2018

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

II IV V

Ever Disciplined

LastModifiedDate

06/19/2018