FERNANDO F MOSQUEDA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928755

License Status

NOT RENEWED

Business

First Name

FERNANDO F

Last Name

MOSQUEDA

Suffix

Business Name

FERNANDO F MOSQUEDA OD

Original Issue Date

06/19/2002

Effective Date

03/23/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006