Gerald N Blaize Od
InactiveIllinois license 046008459
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 046008459
- Status
- Inactive
- First issued
- October 18, 1991
- Expired
- March 31, 1992
- License holder
- Gerald N Blaize Od
- Entity type
- Individual
Classifications
- Licensed Optometrist (Optometry) Vision & Hearing
Contact
Orchard Lake, MI 48324
Michigan County