MORTON FORD OD - Optometrist License in Illinois | # 047115359

MORTON FORD OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047115359

License Status

NOT RENEWED

Business

N

First Name

MORTON

Last Name

FORD

Suffix

OD

Business Name

MORTON FORD OD

Original Issue Date

05/11/1994

Effective Date

04/01/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006