EDWARD D AUGDAHL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926137

License Status

NOT RENEWED

Business

First Name

EDWARD D

Last Name

AUGDAHL

Suffix

Business Name

EDWARD D AUGDAHL OD

Original Issue Date

03/01/1999

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005