MORTON FORD OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925306

License Status

NOT RENEWED

Business

First Name

MORTON

Last Name

FORD

Suffix

Business Name

MORTON FORD OD

Original Issue Date

05/13/1997

Effective Date

06/12/1999

Expiration Date

03/31/1998

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005