MORTON FORD OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047405359

License Status

NOT RENEWED

Business

First Name

MORTON

Last Name

FORD

Suffix

Business Name

MORTON FORD OD

Original Issue Date

09/30/1975

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60638

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005