TODD MICHAEL HUNGERFORD OD - Optometrist License in Illinois | # 047931052

TODD MICHAEL HUNGERFORD OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931052

License Status

NOT RENEWED

Business

N

First Name

TODD

Middle

MICHAEL

Last Name

HUNGERFORD

Suffix

OD

Business Name

TODD MICHAEL HUNGERFORD OD

Original Issue Date

04/13/2005

Effective Date

04/13/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006