MATTHEW W GIFFORD OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933895

License Status

CANCELLED

Business

First Name

MATTHEW

Middle

Last Name

GIFFORD

Suffix

Business Name

MATTHEW W GIFFORD OD

Original Issue Date

03/20/2008

Effective Date

03/20/2008

Expiration Date

03/31/2010

City

OAK PARK

State

Zip

60301

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010