MADISON R GOODFELLOW Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046011306

License Status

NOT RENEWED

Business

First Name

MADISON

Middle

Last Name

GOODFELLOW

Business Name

MADISON R GOODFELLOW

Original Issue Date

06/05/2019

Effective Date

06/01/2022

Expiration Date

03/31/2024

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2025