EDWARD D AUGDAHL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008460

License Status

NOT RENEWED

Business

First Name

EDWARD D

Last Name

AUGDAHL

Suffix

Business Name

EDWARD D AUGDAHL OD

Original Issue Date

10/22/1991

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005