TODD MICHAEL HUNGERFORD OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931591

License Status

CANCELLED

Business

First Name

TODD

Middle

MICHAEL

Last Name

HUNGERFORD

Suffix

Business Name

TODD MICHAEL HUNGERFORD OD

Original Issue Date

11/07/2005

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010