EDWARD D AUGDAHL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047028460

License Status

NOT RENEWED

Business

First Name

EDWARD D

Last Name

AUGDAHL

Suffix

Business Name

EDWARD D AUGDAHL OD

Original Issue Date

11/23/1993

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

MATTESON

State

Zip

60443

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005