TODD CORY GUNDERSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928210

License Status

NOT RENEWED

Business

First Name

TODD

Middle

CORY

Last Name

GUNDERSON

Suffix

Business Name

TODD CORY GUNDERSON OD

Original Issue Date

10/04/2001

Effective Date

02/24/2004

Expiration Date

03/31/2006

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

05/11/2006