SCOTT B FORD OD - Optometrist License in Illinois | # 047932571

SCOTT B FORD OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932571

License Status

CANCELLED

Business

N

First Name

SCOTT

Middle

B

Last Name

FORD

Suffix

OD

Business Name

SCOTT B FORD OD

Original Issue Date

10/23/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010