SCOTT B FORD OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925511

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

Last Name

FORD

Suffix

Business Name

SCOTT B FORD OD

Original Issue Date

11/26/1997

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

09/11/2005