MATTHEW W GIFFORD OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929549

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

GIFFORD

Suffix

Business Name

MATTHEW W GIFFORD OD

Original Issue Date

08/04/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

OAK PARK

State

Zip

60301

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005