MATTHEW W GIFFORD OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930026

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

GIFFORD

Suffix

Business Name

MATTHEW W GIFFORD OD

Original Issue Date

03/16/2004

Effective Date

03/16/2004

Expiration Date

03/31/2006

City

NORTH RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006