FERNANDO F MOSQUEDA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930462

License Status

NOT RENEWED

Business

First Name

FERNANDO F

Last Name

MOSQUEDA

Suffix

Business Name

FERNANDO F MOSQUEDA OD

Original Issue Date

08/13/2004

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008