JAMES A BLUMENTHAL Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****52

License Status

NOT RENEWED

Business

First Name

JAMES A

Last Name

BLUMENTHAL

Business Name

JAMES A BLUMENTHAL

Original Issue Date

06/21/1996

Expiration Date

03/31/1998

City

RIVERDALE

State

Zip

60627

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/02/2005