MIGUEL A GONZALEZ OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925755

License Status

NOT RENEWED

Business

First Name

MIGUEL

Middle

Last Name

GONZALEZ

Suffix

Business Name

MIGUEL A GONZALEZ OD

Original Issue Date

07/16/1998

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005