KENNETH S BLUM OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007281

License Status

NOT RENEWED

Business

First Name

KENNETH S

Last Name

BLUM

Suffix

Business Name

KENNETH S BLUM OD

Original Issue Date

08/07/1980

Expiration Date

03/31/1994

City

HARTSDALE

State

Zip

10530

County

NEW YORK

Ever Disciplined

LastModifiedDate

08/31/2005