License holder summary

L D BLAKE OD INC is a Optometry Board - Optometry Corporation licensed to practice in Indiana. The address on file for L D BLAKE OD INC is 7721 ILL ROAD, FORT WAYNE IN 46804. This licensed professional license is not current. The license was granted 10/14/1975 and expired on 01/31/2008.

Indiana

Professional Licensing Agency

L D BLAKE OD INC
Optometry Board - Optometry Corporation
License number
56000027A
Date granted
10/14/1975
Date expires
01/31/2008
Class
Optometry Board - Optometry Corporation
Status
Expired
Address
7721 ILL ROAD, FORT WAYNE IN 46804
indianalicensing.org
ID 24873670
LAST UPDATED 2024-02-18 00:58:45 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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