MARCIA E BLAKE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006808

License Status

NOT RENEWED

Business

First Name

MARCIA E

Last Name

BLAKE

Business Name

MARCIA E BLAKE

Original Issue Date

07/15/1976

Effective Date

03/30/2022

Expiration Date

03/31/2024

City

SAINT JOSEPH

State

Zip

49085

Ever Disciplined

LastModifiedDate

02/05/2025