TODD CORY GUNDERSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929472

License Status

NOT RENEWED

Business

First Name

TODD

Middle

CORY

Last Name

GUNDERSON

Suffix

Business Name

TODD CORY GUNDERSON OD

Original Issue Date

05/28/2003

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

WEST FRANKFORT

State

Zip

62896

County

FRANKLIN

Ever Disciplined

LastModifiedDate

05/02/2008