MIGUEL A GONZALEZ OD - Optometrist License in Illinois | # 047018634

MIGUEL A GONZALEZ OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047018634

License Status

CANCELLED

Business

N

First Name

MIGUEL

Middle

A

Last Name

GONZALEZ

Suffix

OD

Business Name

MIGUEL A GONZALEZ OD

Original Issue Date

08/03/1995

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010