MORTON FORD OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046005359

License Status

NOT RENEWED

Business

First Name

MORTON

Last Name

FORD

Suffix

Business Name

MORTON FORD OD

Effective Date

04/01/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006

Case Number

1994001815

Action

Fine

Discipline Start Date

07/01/1995

Discipline Reason

Failed to have ancillary licensed for ten locations.