LESLIE E BLAINE
Optometry in Staten Island, NY

License number
Pennsylvania OE004353L
Category
Optometry
Type
Optometrist
Address
Address 2
Staten Island, NY 10310
Pennsylvania
LicenseFiles verified this license of Apr 24, 2017 at the Pennsylvania Licensing System.

Organization information

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LESLIE E. BLAINE, O.D., PC

436 Sheffield St, Staten Island, NY 10310

Status:
Inactive
Inactive reason:
Dissolution by Proclamation / Annulment of Authority
Registration:
Dec 20, 1972
Inactive since:
Mar 31, 1982
State ID:
249303
Business type:
DOMESTIC PROFESSIONAL CORPORATION

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