SCOTT B FORD OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925470

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

Last Name

FORD

Suffix

Business Name

SCOTT B FORD OD

Original Issue Date

10/27/1997

Effective Date

06/12/1999

Expiration Date

03/31/1998

City

HOFFMAN ESTATES

State

Zip

60195

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005