MIGUEL A GONZALEZ OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047028634

License Status

NOT RENEWED

Business

First Name

MIGUEL

Middle

Last Name

GONZALEZ

Suffix

Business Name

MIGUEL A GONZALEZ OD

Original Issue Date

04/06/1996

Expiration Date

03/31/1998

City

LANSING

State

Zip

60438

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005