FERNANDO F MOSQUEDA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047028203

License Status

NOT RENEWED

Business

First Name

FERNANDO F

Last Name

MOSQUEDA

Suffix

Business Name

FERNANDO F MOSQUEDA OD

Original Issue Date

02/14/1992

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60603

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005