MATTHEW W GIFFORD OD - Optometrist License in Illinois | # 047929549

MATTHEW W GIFFORD OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929549

License Status

NOT RENEWED

Business

N

First Name

MATTHEW

Middle

W

Last Name

GIFFORD

Suffix

OD

Business Name

MATTHEW W GIFFORD OD

Original Issue Date

08/04/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005