SARAH ELIZABETH BLATCHFORD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****90

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

ELIZABETH

Last Name

BLATCHFORD

Business Name

SARAH ELIZABETH BLATCHFORD

Original Issue Date

08/26/1997

Effective Date

01/12/2000

Expiration Date

03/31/1998

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006