MINDY MARIE BLACKFORD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009891

License Status

INACTIVE

Business

First Name

MINDY

Middle

MARIE

Last Name

BLACKFORD

Business Name

MINDY MARIE BLACKFORD

Original Issue Date

07/03/2006

Effective Date

03/15/2018

Expiration Date

09/30/2020

City

BARING

State

Zip

63531

County

KNOX

Ever Disciplined

LastModifiedDate

01/04/2020