KATHERINE A BLASKOVICH OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009233

License Status

INACTIVE

Business

First Name

KATHERINE

Middle

Last Name

BLASKOVICH

Suffix

Business Name

KATHERINE A BLASKOVICH OD

Original Issue Date

01/19/2000

Effective Date

04/17/2002

Expiration Date

03/31/2002

City

DYER

State

Zip

46311

County

INDIANA

Ever Disciplined

LastModifiedDate

09/11/2005