TODD MICHAEL HUNGERFORD OD - Optometrist License in Illinois | # 047929118

TODD MICHAEL HUNGERFORD OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929118

License Status

CANCELLED

Business

N

First Name

TODD

Middle

MICHAEL

Last Name

HUNGERFORD

Suffix

OD

Business Name

TODD MICHAEL HUNGERFORD OD

Original Issue Date

10/28/2002

Effective Date

07/21/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010