TODD MICHAEL HUNGERFORD OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929118

License Status

CANCELLED

Business

First Name

TODD

Middle

MICHAEL

Last Name

HUNGERFORD

Suffix

Business Name

TODD MICHAEL HUNGERFORD OD

Original Issue Date

10/28/2002

Effective Date

07/21/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010