MORTON FORD OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047105359

License Status

CANCELLED

Business

First Name

MORTON

Last Name

FORD

Suffix

Business Name

MORTON FORD OD

Original Issue Date

01/08/1974

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005