MORTON FORD OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925774

License Status

NOT RENEWED

Business

First Name

MORTON

Last Name

FORD

Suffix

Business Name

MORTON FORD OD

Original Issue Date

07/27/1998

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

09/11/2005