MORTON FORD OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047125359

License Status

NOT RENEWED

Business

First Name

MORTON

Last Name

FORD

Suffix

Business Name

MORTON FORD OD

Original Issue Date

08/22/1995

Expiration Date

03/31/1996

City

BLOOMINGTON

State

Zip

60108

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/01/2005