MARY C BLATT OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008762

License Status

INACTIVE

Business

First Name

MARY

Middle

Last Name

BLATT

Suffix

Business Name

MARY C BLATT OD

Original Issue Date

09/09/1994

Effective Date

02/04/2000

Expiration Date

03/31/2000

City

ST LOUIS

State

Zip

63128

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/11/2005